Clinical Evaluation of Early Cognitive Symptoms

• Autores: J. Riley McCarten
• Localización: Clinics in geriatric medicine, ISSN 0749-0690, Vol. 29, Nº. 4, 2013, págs. 791-807
• Idioma: inglés
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• Resumen

  • The etiology of cognitive impairment in older adults is almost always a clinical diagnosis without definitive biomarkers. The clinical evaluation, therefore, is indispensable. Evaluating cognitive symptoms requires a deliberate approach to define the onset, course, and nature of symptoms. An informant who knows the patient well is essential. The physician must have a working knowledge of the basics of cognitive function. The neurologic examination also is fundamental to defining the origin of cognitive impairment. Extraocular movements, speech, and gait are examples of high-yield examination findings that can be observed and tested quickly, adding to the clinical impression.