Assessment of cognitive functions in internal medicine

La Revue de médecine interne
J Capron

Abstract

The evaluation of cognitive functions can be performed using two approaches: a quantitative one, based on screening tools; a qualitative one, based on the examination of specific cognitive functions. The quantitative approach offers a pragmatic process: to screen rapidly for a cognitive dysfunction that may require assistance or treatments. We will present three screening tools and their diagnostic value: the clock test, the Mini Mental State Examination and the Montreal Cognitive Assessment. They help select patients who require a more detailed examination to precisely diagnose their cognitive dysfunction. We propose a way to perform a detailed cognitive examination at the bedside, including the examination of alertness, attention, memory, language, frontal functions, praxis and hemi-neglect. This simple examination indicates the location of the cerebral lesion and sometimes suggests the underlying disease.

References

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Jun 5, 2012·The American Journal of Geriatric Pharmacotherapy·Noll L CampbellMichael D Murray

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Citations

Apr 20, 2021·La Revue de médecine interne·E PeterA Garnier-Crussard

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