Physical exam and diagnostic tests

The physician will

*Ask about diet, nutrition and use of alcohol.

*Review all medications. It is helpful to bring a list or the containers of all medicines currently being taken, including over-the-counter drugs and supplements.

*Check blood pressure, temperature and pulse.

*Listen to the heart and lungs.

*Collect samples of blood and urine.

Information from these tests can help identify other disorders that may cause memory loss, confused thinking, trouble focusing attention, or other symptoms similar to dementia. Such disorders include:

*Anemia, malnutrition or certain vitamin deficiencies

*Excess use of alcohol

*Medication side effects

*Certain infections

*Diabetes

*Kidney or liver disease

*Thyroid abnormalities

*Problems with the heart, lung or blood vessels

Neurological exam

The neurological examination is an important part of the physical. Its goal is to assess the function of the brain and nervous system to identify symptoms of brain disorders other than Alzheimer's.

During the neurological exam, the physician may test:

*Reflexes

*Coordination and balance

*Muscle tone and strength

*Eye movement

*Speech

*Sensation