Master these 3 basic skills! Get a diagnosis of "mild cognitive impairment"

Mild cognitive impairment (MCI) is an intermediate stage between cognitive normalization and Alzheimer's disease (AD) dementia, with a high probability
of outcome to AD dementia.

How to diagnose Alzheimer's pathogenic mild cognitive impairment, see the "Chinese Expert Consensus on the Diagnosis and Treatment of Alzheimer's Pathogenic Mild Cognitive Impairment (2021)" puts forward these three points!

1

• Contents: onset time, form of onset, specific manifestations, progression mode, diagnosis and treatment process and prognosis
  .
  

• Whether cognitive impairment has an impact on
  daily abilities and social functioning.
  

• Whether there are non-cognitive neuropsychiatric symptoms (NPS), specific manifestations of NPS, and sequence of occurrence with cognitive impairment
  .
  

• Possible triggers or events
  for cognitive impairment.
  

• Concomitant signs and symptoms of limb dysfunction or other systemic disorders
  .
  

• MCI due to neurodegenerative disease has an insidious onset, continues to progress, generally has no known disease causing cognitive impairment in the course of the disease, and often has no focal neurologic signs or selective involvement of a system
  .
  Detailed family history, history of neoplasms (to screen for paraneoplastic syndromes), history of blood transfusions and metallurgy (syphilis or HIV infection), past medical history, and particular attention to disorders or precipitating factors that cause cognitive impairment such as cerebrovascular disease, Parkinson's disease and Parkinson's superimposed syndrome, normal stress hydrocephalus, brain trauma, encephalitis, epilepsy, chronic diarrhea, or malnutrition (vitamin _B1 or B₁₂ and other deficiencies), thyroid dysfunction, liver and kidney insufficiency, alcoholism, carbon monoxide poisoning, drug abuse, vascular risk factors (such as hypertension and diabetes), depression, sleep breathing disorders, etc
  .
  

2

★2.
1 General physical examination 2.
2 Neurological examination ★
: These include consciousness, advanced cortical function tests (comprehension, orientation, near and far memory, calculation, and judgment), cranial nerves, motor system (muscle volume, muscle tone, muscle strength, involuntary movement, ataxia, gait), sensory system (superficial sensation, deep sensation, compound sensation), reflexes (superficial reflex, deep reflex, pathological reflex), and meningeal irritation
.