Cognitive Impairment in the Primary Care Clinic

Prim Care. 2024 Jun;51(2):233-251. doi: 10.1016/j.pop.2024.02.010. Epub 2024 Apr 1.

Abstract

Cognitive impairment is a common problem in the geriatric population and is characterized by variable symptoms of memory difficulties, executive dysfunction, language or visuospatial problems, and behavioral changes. It is imperative that primary care clinicians recognize and differentiate the variable symptoms associated with cognitive impairment from changes attributable to normal aging or secondary to other medical conditions. A thorough evaluation for potentially reversible causes of dementia is required before diagnosis with a neurodegenerative dementia. Other abnormal neurologic findings, rapid progression, or early age of onset are red flags that merit referral to neurology for more specialized evaluation and treatment.

Keywords: Alzheimer’s disease; Cognitive impairment; Dementia.

Publication types

  • Review

MeSH terms

  • Aged
  • Cognitive Dysfunction* / diagnosis
  • Dementia* / diagnosis
  • Diagnosis, Differential
  • Humans
  • Neuropsychological Tests
  • Primary Health Care*