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Summary of the 3 D’s 

 

 Dementia

 Delirium

 Depression

 Onset

 Gradual

 Acute

 Recent

 Reversibility

 Usually irreversible (95%) [1]

 Usually reversible (90%) [1]

 Reversible with treatment

 Alertness

 Usually constant

 Prominent fluctuations

 Usually constant

 Memory Loss

 Often unaware of memory loss

 Inattention is more common

 Often c/o memory loss

 Miscellaneous

 Normal/mildly slow EEG waves

 Patients with dementia at higher risk

 May be family hx of depression

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1. Mendez MF, Cummings JL. Dementia: a clinical approach. 3rd ed. Philadelphia (PA): Elsevir Inc; 2003.

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