Initial evaluation of suspected dementia

PREVIEW

As pharmacologic agents to treat cognitive symptoms of dementia become available, early recognition of the disease is increasingly important. An accurate diagnosis can be made by performing a thorough clinical examination combined with assessment of physical, neurologic, mental, and functional status. Laboratory testing, neuroimaging and, in some cases, genetic testing may help identify the underlying cause. In this article, Drs Steffens and Morgenlander outline the clinical approach to suspected dementia, which begins with asking the appropriate questions of the patient and a family member or knowledgeable caregiver.