Dementia history and symptoms: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(6 intermediate revisions by the same user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Template:Dementia}}
{{Template:Dementia}}
{{CMG}}
{{CMG}} {{SAI}}  
== History and Symptoms ==  
==Overview==
* Medication history
* Abbreviated mental status examination
* Thorough history needs to be performed to rule out any underlying disease etiology.


Adequate time should be arranged in a follow-up appointment. A family member or close friend familiar with the patient should accompany them to the visits and remember what the patient is told. The initial step at the follow-up visit is an assessment of cognitive function, followed by a complete physical examination, including neurologic examination.<ref name="pmid8663868">{{cite journal |vauthors=Geldmacher DS, Whitehouse PJ |title=Evaluation of dementia |journal=N Engl J Med |volume=335 |issue=5 |pages=330–6 |date=August 1996 |pmid=8663868 |doi=10.1056/NEJM199608013350507 |url=}}</ref>
==History and Symptoms==
A positive history of memory loss and disorientation are suggestive of  dementia. The most common symptoms of dementia  include [[memory loss]], [[disorientation]], nominal [[dysphasia]], getting lost, misplacing items, [[apathy]], personality change, mood changes, constructional [[dyspraxia]] and poor abstract thinking.


One minute screening tests, such as the inability to name 15 or more animals in one minute, predicts the presence of dementia.<ref name="pmid14981170">{{cite journal| author=Canning SJ, Leach L, Stuss D, Ngo L, Black SE| title=Diagnostic utility of abbreviated fluency measures in Alzheimer disease and vascular dementia. | journal=Neurology | year= 2004 | volume= 62 | issue= 4 | pages= 556-62 | pmid=14981170 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14981170  }} </ref>
The Global Deterioration Scale (GDS) is a validated and reliable instrument describing the clinical progression of dementia<ref name="pmid7114305">{{cite journal |vauthors=Reisberg B, Ferris SH, de Leon MJ, Crook T |title=The Global Deterioration Scale for assessment of primary degenerative dementia |journal=Am J Psychiatry |volume=139 |issue=9 |pages=1136–9 |date=September 1982 |pmid=7114305 |doi=10.1176/ajp.139.9.1136 |url=}}</ref>
 
The single best finding may be disoriented to year.<ref name="pmid20852313">{{cite journal| author=O'Keeffe E, Mukhtar O, O'Keeffe ST| title=Orientation to time as a guide to the presence and severity of cognitive impairment in older hospital patients. | journal=J Neurol Neurosurg Psychiatry | year= 2011 | volume= 82 | issue= 5 | pages= 500-4 | pmid=20852313 | doi=10.1136/jnnp.2010.214817 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20852313  }} </ref>
 
A [[meta-analysis]] found that the [http://www.alz.org/documents_custom/minicog.pdf Mini-Cog test] compares will to other methods to detect dementia.<ref name="pmid26052687">{{cite journal| author=Tsoi KK, Chan JY, Hirai HW, Wong SY, Kwok TC| title=Cognitive Tests to Detect Dementia: A Systematic Review and Meta-analysis. | journal=JAMA Intern Med | year= 2015 | volume=  | issue=  | pages=  | pmid=26052687 | doi=10.1001/jamainternmed.2015.2152 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26052687  }} </ref>


==References==
==References==

Latest revision as of 14:47, 9 October 2020

Dementia Microchapters

Patient Information

Overview

Classification

Causes

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Sabeeh Islam, MBBS[2]

Overview

Adequate time should be arranged in a follow-up appointment. A family member or close friend familiar with the patient should accompany them to the visits and remember what the patient is told. The initial step at the follow-up visit is an assessment of cognitive function, followed by a complete physical examination, including neurologic examination.[1]

History and Symptoms

A positive history of memory loss and disorientation are suggestive of dementia. The most common symptoms of dementia include memory loss, disorientation, nominal dysphasia, getting lost, misplacing items, apathy, personality change, mood changes, constructional dyspraxia and poor abstract thinking.

The Global Deterioration Scale (GDS) is a validated and reliable instrument describing the clinical progression of dementia[2]

References

  1. Geldmacher DS, Whitehouse PJ (August 1996). "Evaluation of dementia". N Engl J Med. 335 (5): 330–6. doi:10.1056/NEJM199608013350507. PMID 8663868.
  2. Reisberg B, Ferris SH, de Leon MJ, Crook T (September 1982). "The Global Deterioration Scale for assessment of primary degenerative dementia". Am J Psychiatry. 139 (9): 1136–9. doi:10.1176/ajp.139.9.1136. PMID 7114305.

Template:WH Template:WS