Dementia


Clinical Presentation

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How Dementias are Diagnosed

Clinical diagnosis relies on the 2 cornerstones of psychiatric assessment: History and MSE.

Typical diagnostic features in the history include:

  • Poor short-term memory
  • Disorientation in time or place
  • Difficulty carrying out daily living activities

Typical diagnostic features on MSE include:

  • Score of 24 or less on Mini Mental State Examination
  • Word-finding difficulty or repetitive speech
  • Limited insight