Dementia Work-Up

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Diagnosis

Acute onset, fluctuating course, inattention

Plus either disorganized thinking or altered level of consciousness


Work-Up

CBC

Chem 10

UA/Utox

ECG, CXR

ETOH

CT/MRI


LFTs, TSH

B12, RPR, ESR, ANA, Folate, Thiamine, HIV

neuropsych eval


Consider LP, urine heavy metals, EEG


Treatment

Give MVI, thiamine, folate


Source

7/1/09 PANI (Adapted from Donaldson)

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