Outcomes may improve with disease-modifying drugs and lifestyle change if Alzheimer's could be identified earlier.
Disclosure: Charles P. Vega, MD, has disclosed the following relevant financial relationships:, here for a routine visit for her chronic illness. She says that she feels fine but apologizes that she has not been checking her blood pressure at home lately."There are just too many other things to do!" she says.
Primary care clinicians are in a particularly advantageous position to identify cognitive impairment among older adults before it becomes debilitating. But we clearly need better tools to make this diagnosis. For now, I would consider having Agnes perform a clinical screening test to be the best response. A positive screening test for cognitive impairment takes only a few minutes yet can have a powerful effect on patient outcomes.
The Mini-Cog consists of 3-item recall plus a clock draw test. A meta-analysis found that the sensitivity and specificity of this test to identify. One critical advantage of the Mini-Cog is that it is less dependent on the patient's language and baseline educational attainment.is longer than the Mini-Cog but can provide some excellent information regarding memory as well as attention and language.
Alzheimer Disease Mild Cognitive Impairment MCI - Mild Cognitive Impairment Minimal Cognitive Impairment MCI Mild Cognitive Impairment (MCI) Cognitive Impairment Impairment Primary Care California Memory Problems Fellowship Fellows Memory Residency Residents Biomarker Biological Marker Multi-Biomarker Disease Activity MBDA Multibiomarker Disease Activity Blood
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