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afya Dementia2

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20160425222417 Ben  
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700,000 people in UK
most common Alzheimers then vascular and lewy body (all may co-exist)
diagnosis challenging and takes time
may use MMSE - <24/30 is diagnostic

Mx
Primary care - bloods - FBC, U/E, LFT, Ca, glc, TFT, B12, folate
refer to COE memory clinic - for neuroimaging (NICE 2011 recommend all get CTH) to exclude reversible causes (sub-dural, normal pressure hydrocephalus) and for aetiology to guide prognosis and Mx