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Title: Assessment and diagnosis of dementia : a review for primary healthcare professionals
Other Titles: 評估和診斷認知障礙症 給基礎專業人員的回顧
Authors: Lam, K
Chan, WSY
Luk, JKH
Leung, AYM 
Issue Date: 2019
Publisher: Hong Kong Academy of Medicine and Hong Kong Medical Association
Source: Hong Kong medical journal (香港醫學雜誌), 4 Dec. 2019, v. 25, no. 6, p. 473-482 How to cite?
Journal: Hong Kong medical journal (香港醫學雜誌) 
Abstract: Dementia is one of the most costly, disabling diseases associated with ageing, yet it remains underdiagnosed in primary care. In this article, we present the comprehensive approach illustrated with a classical case for diagnosing dementia which can be applied by healthcare professionals in primary care. This diagnostic approach includes history taking and physical examination, cognitive testing, informant interviews, neuropsychological testing, neuroimaging, and the utility of cerebrospinal fluid biomarkers. For the differential diagnosis of cognitive impairment, the differences and similarities among normal ageing, mild cognitive impairment, depression, and delirium are highlighted. As primary care physicians are playing an increasingly prominent role in the caring of elderly patients in an ageing population, their role in the diagnosis of dementia should be strengthened in order to provide a quality care for patients with dementia.
ISSN: 1024-2708
DOI: 10.12809/hkmj198073
Rights: © 2019 Hong Kong Academy of Medicine. CC BY-NC-ND 4.0 (
The following publication Lam, K., Chan, W. S. Y., Luk, J. K. H., & Leung, A. Y. M. (2019). Assessment and diagnosis of dementia : a review for primary healthcare professionals. Hong Kong Medical Journal, 25(6), 473-482 is available at
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