Differential Diagnosis of Dementias - Alzheimer's Association

Differential Diagnosis of Dementias - Alzheimer's Association Differential Diagnosis of Dementias - Alzheimer's Association

14.01.2014 Views

Core features of degenerative dementia • Deficits in cognitive domains that may include memory • Usually progressive deterioration • Cognitive impairment interferes with social or occupational function • Not attributable to another disorder American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition. Text Revision. (DSM-IV-TR ® .) Washington, DC: American Psychiatric Association; 2000. 6

Clinical Evaluation for Dementia 1 History Physical, Neurologic, Mental Status Examinations • Obtain medical and psychiatric history, along with current symptoms • Include collateral source such as family or other informant • Identify neurologic deficits • Conduct general screen for cognitive impairment Laboratory, Psychiatric, and Neuropsych Tests • Identify reversible causes of cognitive impairment • Build on mental status examination, and provide clearer picture of pattern and degree of cognitive impairment Agronin ME. Alzheimer disease and other dementias : a practical guide. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008. 7

Clinical Evaluation for Dementia 1<br />

History<br />

Physical,<br />

Neurologic,<br />

Mental Status<br />

Examinations<br />

• Obtain medical and psychiatric history, along<br />

with current symptoms<br />

• Include collateral source such as family or<br />

other informant<br />

• Identify neurologic deficits<br />

• Conduct general screen for cognitive<br />

impairment<br />

Laboratory,<br />

Psychiatric, and<br />

Neuropsych Tests<br />

• Identify reversible causes <strong>of</strong> cognitive<br />

impairment<br />

• Build on mental status examination, and<br />

provide clearer picture <strong>of</strong> pattern and degree<br />

<strong>of</strong> cognitive impairment<br />

Agronin ME. Alzheimer disease and other dementias : a practical guide. 2nd ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.<br />

7

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