By vgreene, 4 August, 2016 Toxic/metabolic (drug abuse, hepatic encephalopathy, vitamin deficiency, hypothyroidism)
By vgreene, 4 August, 2016 Vascular. Cognitive impairment may begin abruptly, suggesting stroke; neuroimaging typically suggests vascular dz; may have accompanying focal neuro deficits
By vgreene, 4 August, 2016 Frontotemporal dementia. Personality change, behavioral change, language problems (difficulty naming, understanding, speaking)
By vgreene, 4 August, 2016 Dementia w/ Lewy bodies. Dementia w/ cognitive status fluctuations, parkinsonism (tremor, slow mvt, rigidity, postural instability), hallucinations, REM-sleep behavior disorder (eg, dream enactment)
By vgreene, 4 August, 2016 Alzheimer dz. Progressive memory loss w/ impairment of 1+ nonmemory cognitive domain (eg, language, reasoning) that affects ADLs
By vgreene, 4 August, 2016 If acute delirium + dementia: Promptly eval for underlying cause (eg, UTI, metabolic4 cause)
By vgreene, 4 August, 2016 Labs for treatable causes: CBC, TSH, B12, folate, syphilis (IgG w/ reflex RPR)
