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Old 06-06-2013
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Default Memory loss case, PE ???

what Physical exam do we do in Memory loss/ forgetfulness case.

please help out
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Old 06-06-2013
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Quote:
Originally Posted by shima View Post
what Physical exam do we do in Memory loss/ forgetfulness case.

please help out
MiniMental/Quick Neuro/Thyroid/CVS (including all 3 pulses)/Mental(for Depression)
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Old 06-06-2013
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I would say a complete neuro exam with sensation, DTR's, motor strength, MMSE etc. Along with that you can do a thyroid exam. + heart and lung examination depending on how much time you have. You should not forget to ask about history of stroke to rule out vascular dementia
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Basically it depends upon the positive findings in history and the differential you are considering. For example< if you are considering Alzheimer's disease, Multi-Infarct Dementia and NPH then you would do MMSE (for Alzheimer's), CVS (for Multi-Infarct Dementia) and Neuro (for NPH).
From History, if there is FH of Alzheimer's (MMSE), PMH of HTN/Stroke/MI (CVS) and h/o temperature intolerance/dry skin/hair loss/constipation (Thyroid) and h/o urinary incontinence (Neuro) etc etc.
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