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Due to the growth of the aged population, dementia is becoming a public health problem. Although studies have shown a reasonable percentage of reversible dementias in patients in chronic care facilities, most patients languish in such facilities, never having been adequately evaluated. At best, many non-neurologists consider a computed tomographic scan and electroencephalogram sufficient for neurologic evaluation. Unless these studies indicate another obvious diagnosis, the patient is labeled as incurable, diagnosed as having hardening of the arteries by the unsophisticated, or Alzheimer's disease by the more sophisticated.
Such an approach is inadequate, rightly say the authors. Their message is clear:
Dementia: A Clinical Approach.. Ann Intern Med. ;100:628. doi: 10.7326/0003-4819-100-4-628_2
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Published: Ann Intern Med. 1984;100(4):628.
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