Dementia Work-Up

Diagnosis

Acute onset, fluctuating course, inattention

Plus either disorganized thinking or altered level of consciousness

Work-Up

1. CBC
2. Chem 10
3. UA/Utox
4. ECG, CXR
5. ETOH
6. CT/MRI
7. Consider
   1. LFTs, TSH
   2. B12, RPR, ESR, ANA, Folate, Thiamine, HIV
   3. neuropsych eval
   4. Consider LP, urine heavy metals, EEG

Treatment

Give MVI, thiamine, folate

Source

7/1/09 PANI (Adapted from Donaldson)