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→Dementia
==Dementia==
==Dementia==
*H&P:
*H&P:
*Dx: Differentiate from MCI (which has less severe symptoms that do not interfere with ADLs). Differential includes [[Alzheimer disease]] (most common), Parkinson disease, Lewy body dementia, '''frontotemporal dementia (Pick disease)''', vascular dementia, and [[Creutzfeld Jacob disease]] (prions). Check for '''reversible causes''' (TSH, B12, B6, urine tox screen, EtOH levels, infectious workups, depression screen).
*Dx: Differentiate from MCI (which has less severe symptoms that do not interfere with ADLs). Differential includes [[Alzheimer disease]] (most common), Parkinson disease, Lewy body dementia, '''frontotemporal dementia (Pick disease, 20% of patients can have UMN/LMN disease)''', vascular dementia, and [[Creutzfeld Jacob disease]] (prions, myoclonus, rapidly progressive, mutism). Check for '''reversible causes''' (TSH, B12, B6, urine tox screen, EtOH levels, infectious workups, depression screen).
*Tx: Based on etiology. '''AChE inhibitors: donepezil, <u>rivastigmine</u>, galantamine.''' Memantine ('''NMDA antagonist'''). Assisted living and social support.
*Tx: Based on etiology. '''AChE inhibitors: donepezil, <u>rivastigmine</u>, galantamine.''' Memantine ('''NMDA antagonist'''). Assisted living and social support.