By Dan Silverman
Between the entire scientific symptoms for which radiologists, nuclear drugs phy- cians, neurologists, neurosurgeons, psychiatrists (and others studying issues of the mind) order and browse mind puppy scans, call for is maximum for these relating dementia and comparable problems. This call for is pushed via the sheer occurrence of these stipulations, coupled with the truth that the differential analysis for reasons of cognitive impairment is broad and sometimes tricky to tell apart clinically. The conceptual framework through which overview and administration of dementia is guided has advanced significantly over the last decade. even if we nonetheless are faraway from having excellent exams or dramatic treatments for any of the verified reasons of dementia, our concepts have multiplied with admire to either the diagnostic and the- peutic instruments now to be had. within the first bankruptcy of this e-book, the contribution and boundaries of alternative components of the scientific exam for analysis of cog- tive signs are defined, and the jobs of structural and useful neuroim- ing within the scientific workup are given context.
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Extra resources for PET in the Evaluation of Alzheimer’s Disease and Related Disorders
Sample text
Given that early treatment interventions are able to keep patients at higher levels of functioning and future innovative therapies may be able to delay the onset of dementia and slow its progression, it is becoming increasingly important to accurately diagnose dementia as early as possible. This chapter outlines the basic elements of a clinical diagnostic evaluation for Alzheimer’s disease (AD) and other dementias; and also addresses how to identify candidates for a dementia evaluation, discusses the role of neuroimaging in a clinical dementia evaluation, and identifies future directions The number and proportion of adults over 65 years is expected to increase rapidly over the next several decades.
The physician also conducts a neuropsychiatric screen to formulate diagnostic hypotheses. The initial interview also can serve to establish rapport and a working relationship with the patient. Chief Complaint and History The clinician gathers additional information about the patient’s chief complaint and medical background. , fluctuating or progressive), and whether the patient has experienced changes in personality, mood, or daily functioning. It is important to try to construct a timeline of what has changed for the patient and when; therefore, the physician should try to distinguish longstanding difficulties from those of recent onset.
The inquiry then concludes with further questions about the presence of other symptoms, such as anxiety, panic, mania, paranoia, hallucinations, homicidal ideation, obsessions, or compulsions. Life transitions, such as retirement, losses (of a loved one, physical mobility, employment, or financial security), moving, personal illness or illness in a family member, or caring for an ill loved one, should alert the clinician to the potential for stress or dysphoria in patients. The initial evaluation also includes determining whether the patient has sufficient insight into cognitive difficulties and has a sense of how cognitive difficulties affect daily functioning or relationships with others.