By vgreene, 4 August, 2016 Toxic/metabolic (drug abuse, hepatic encephalopathy, vit deficiency, hypothyroidism)
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) that affects ADLs
By vgreene, 4 August, 2016 Prompt, thorough initial eval, as sx progression timing may suggest higher likelihood of treatable (vs degenerative) cause
By vgreene, 4 August, 2016 If acute delirium + dementia: Promptly eval for underlying cause (eg, UTI, metabolic4 cause)
By vgreene, 4 August, 2016 EEG,9 esp if progression occurs over wks to a few months w/ suspicion for metabolic encephalopathy, nonconvulsive sz, or CJD
By vgreene, 4 August, 2016 Labs3 for treatable causes: CBC, TSH, B12, folate, syphilis; plus labs for metabolic,4 infectious,5 inflammatory,6 or autoimmune7/paraneoplastic causes. CSF eval8 for infectious/inflammatory causes (typically in consultation w/ neurologist)
