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geri:dementia:home [on October 3, 2022]
psychdb
geri:dementia:home [on October 3, 2022]
psychdb [Approach to Dementia]
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     * **[[cl:​hiv|HIV]]** (for HIV-associated neuropsychiatric presentations or HIV-associated cognitive impairment)     * **[[cl:​hiv|HIV]]** (for HIV-associated neuropsychiatric presentations or HIV-associated cognitive impairment)
     * **Serum albumin** (to assess nutritional status and rule out diseases that can present with depressive symptoms)     * **Serum albumin** (to assess nutritional status and rule out diseases that can present with depressive symptoms)
-  - Medication ​and Substance ​Review+  - **Medication Review**
     * Medication-induced "​dementia"​     * Medication-induced "​dementia"​
     * Is there polypharmacy that could be contributing to the cognitive impairment?     * Is there polypharmacy that could be contributing to the cognitive impairment?
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        * e.g. - steroid dementia syndrome related to glucocorticoid use.        * e.g. - steroid dementia syndrome related to glucocorticoid use.
   - **Neurological Review** ​   - **Neurological Review** ​
 +    * Do a [[neurology:​neuro-exam:​home|neurological exam]] if appropriate
     * Consider other neurological disorders including [[neurology:​approach-normal-pressure-hydrocephalus-nph|normal pressure hydrocephalus]]     * Consider other neurological disorders including [[neurology:​approach-normal-pressure-hydrocephalus-nph|normal pressure hydrocephalus]]
   - **Is it dementia, mild cognitive impairment (MCI), or normal aging?**   - **Is it dementia, mild cognitive impairment (MCI), or normal aging?**