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Dementia Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Dementia. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you noticed the dementia

    Why: type symptoms? - to determine if acute or chronic. If onset is rapid and symptoms have been present for hours to weeks must consider delirium as possible cause of symptoms. Delirium is an acute confusional state due to many causes e.g. infection, drug intoxication, alcohol withdrawal, liver failure, kidney failure, hypoxia, low blood sugar, stroke, heart attack or head injury. If the onset is slow and insidious and symptoms have been present for months to years a diagnosis of dementia, psychiatric illness or intellectual disability may be more likely.

  2. What symptoms of dementia are experienced?

    Why: e.g. impaired memory, impaired judgement and thinking, impaired verbal fluency and impaired ability to perform complex tasks. Personality may change, impulse control may be lost and personal care deteriorates. People with dementia may also have psychiatric symptoms such as delusions, paranoid ideas, hallucinations, mood disturbance and behavioral disturbance.

  3. At what time of the day is the cognitive impairment worse?

    Why: e.g. if symptoms are worse in the late afternoon and at night, delirium ( acute confusional state) is most likely. Dementia -type symptoms and acute psychosis have minimal variation over the course of 24 hours.

  4. Has deterioration been step-wise?

    Why: suggests multi-infarct dementia.

  5. Is there insight concerning the memory loss?

    Why: patients with cerebral arteriosclerosis e.g. stroke or with AIDS notice their memory slipping whereas patients with Alzheimer's disease are unaware of memory loss.

  6. Risk factors for stroke?

    Why: e.g. high blood pressure, high cholesterol, diabetes, smoking, family history - can assess risk of multi-infarct dementia.

  7. Family history?

    Why: e.g. Alzheimer's disease, Huntington's disease, multiple sclerosis.

  8. Alcohol history?

    Why: chronic alcohol abuse may cause Wernicke-Korsakoff syndrome.

  9. Sexual history?

    Why: may determine risk of HIV and syphilis infection which may cause dementia.

  10. Symptoms of stroke?

    Why: e.g. limb weakness or paralysis, facial muscle weakness or paralysis, difficulty with speech and swallow.

  11. Symptoms of Huntington's disease?

    Why: e.g. relentlessly progressive course of dementia, chorea (continuous flow of jerky movements, flitting randomly from one limb or part to another), personality change ( especially irritability), epilepsy.

  12. Symptoms of Parkinson's disease?

    Why: e.g. coarse hand tremor most marked at rest, rigidity of limbs, slowness in initiating and executing movements and speech, expressionless mask-like face and dementia.

  13. Symptoms of depression?

    Why: Depression may exhibit many of the features of an early dementia, especially memory impairment, slowed thinking and lack of spontaneity.

  14. Fever?

    Why: can suggest any infection that may cause delirium.

  15. Headache?

    Why: may suggest brain cancer or acute stroke.

  16. Psychotic symptoms?

    Why: e.g. delusions, hallucinations and disordered thinking - may suggest an alternative diagnosis of schizophrenia or bipolar disorder. However these symptoms may occur in dementia.

Conditions listing medical symptoms: Dementia:

The following list of conditions have 'Dementia' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Dementia or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X

Conditions listing medical complications: Dementia:

The following list of medical conditions have 'Dementia' or similar listed as a medical complication in our database.

 

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