Screening for HIV-Associated Neurocognitive Disorders (HAND)

Purpose: To screen an HIV-positive patient with the HIV-associated neurocognitive disorder (HAND) score of Cysique et al.

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Evaluation

Are you evaluating a patient who is HIV-positive?

Yes

Age of the patient

years

Duration of current combination antiretroviral therapy

months

Does the patient have a past history of HIV-related CNS disease?

Yes

CD4-positive lymphocyte count

Does the patient show signs of cognitive difficulties?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

HAND discriminant score

Does the discriminant score indicate that the patient is at increased risk for HAND?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Institutionalization in a Patient with Dementia or Alzheimer's Disease
- Drugs Which Can Cause Cognitive Impairment
Clinical Diagnosis, Including Family History For Genetics
- Brief Alzheimer Screen (BAS)
Imaging Studies
- Indications for Performing a Head CT Scan in Patient with Dementia
Other Testing
- The HIV Dementia Scale
- Brief Alzheimer Screen (BAS)
Criteria For Diagnosis
- Risk Factors for Demented Person Becoming Lost
- Binswanger Type of Senile Vascular Dementia
Severity, Prognosis, Stage
Complications
- HIV-Associated Dementia in an Older Adult
Differential Diagnosis And Mimics, Red Flags
- HIV-Associated Dementia in an Older Adult

Therapy

Selection
- The HIV Dementia Scale

Monitoring

Adverse Effects
- Drugs Which Can Cause Cognitive Impairment
Overdose And Reversal
- Drugs Which Can Cause Cognitive Impairment
Complication Detection
- Drugs Which Can Cause Cognitive Impairment

Patient Concerns

Disability And Performance
- Risk Factors for Institutionalization in a Patient with Dementia or Alzheimer's Disease

Specialty

Neurology

Objective

other testing
selection

ICD-10

B23.8 - HIV disease resulting in other specified conditions

Info

Purpose: To screen an HIV-positive patient with the HIV-associated neurocognitive disorder (HAND) score of Cysique et al.

Specialty: Neurology

Objective: other testing, selection

ICD-10: B23.8,

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