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20 Cards in this Set
- Front
- Back
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Dementia onset
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Insidious
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T/F - Dementia is due to an impaired level of arousal.
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False
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Delirium onset
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Acute confusional state
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T/F - Dementia is reversible and secondary to medical or neurologic disorder.
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False. That is delirium
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How would you evaluate a patient with possible dementia?
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Interview second informant
Description of abnormal behavior Course of illness Associated symptoms Review all history |
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What is the rule of thumb to differentiate depressed patients with those with dementia?
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Depressed patients often complain of memory problems. Demented patients often will not.
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What are the components of the Mini-mental status exam?
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Orientation
Immediate recall and short term memory Attention / Calculation Language |
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What are some features that make Alzheimer's unlikely?
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Sudden onset
Focal neurologic findings Early in course (incoordination, gati disturbance, seizures) |
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What is the most prevalent form of psychiatric symptom in alzheimer's patients?
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Agitation
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What is the genetic component for early onset of AD? x2
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APP gene
Presenilin |
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What is the genetic component of early and late onset AD?
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Apolipoprotein E: E4 allele
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What TYPE of drugs would you give to treat AD?
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Symptomatic drugs.
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What are the supporting symptoms of vascular dementia? x5
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Sudden onset/worsening of dementia
Step wise deterioration Focal signs (UMN with spasticity) Risk factors Neuroimaging support |
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Parkinson's patient develops dementia 11 months after the disorder. What is the diagnosis?
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Dementia with Lewy Bodies
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Parkinson's patient develops dementia 13 months after the disorder. What is the diagnosis?
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Parkinson's with Dementia
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Rx treatment for Parkinson's Dementia with lewy bodies
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DO NOT give them levodopa or dopaimine.
Do NOT give them neuroleptics (haldol, thorizine) Cholinesterase inhibitor (donepezil) is usually helpful |
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What is the classic triad of Normal pressure hydrocephalus?
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1. Dementia
2. Urinary Incontinence (apathy) 3. Gait apraxia (wide base) |
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Diagnostic test for normal pressure hydrocephalus. x2
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CT / MRI
24 hour intracranial pressure monitoring (Do not do cisternogram) |
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Treatment for normal pressure hydrocephalus.
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Ventriculoperitoneal shunt
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What are some medications you can give AD patients? x4
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Cholinesterase inhibitors
Antidepressants NMDA receptor inhibitor Neuroleptics and/or sedatives |
