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9 Cards in this Set
- Front
- Back
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albuminocytologic dissociation indicates what
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GBS
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Dx
violent px with vertical or horizontal nystagmus |
PCP
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common causes of delirium
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UTI (MCC in elderly)
DRUGS: benzo's anticholinergic (esp in elderly) antihistamines corticosteroids |
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how does sundowning differ from delirium
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SUNDOWNING: deterioration of behavior during the evening hours in pt's WITH DEMENTIA
DELIRIUM: occurs in pt's WITHOUT H/O DEMENTIA & can be linked to a medical or substance-related cause |
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2 MCC of dementia
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Dx: CT or MRI
Alzheimer's (70%) --> cortical atrophy Vascular (15%) --> multiple infarcts |
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Dx
dementia a/w visual hallucinations and frequent falls |
lewy body dementia
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Dx
dementia a/w unpleasant behavior and personality changes |
picks disease (aka frontotemporal dementia)
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What is Rx in an elderly pt with delerium
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Antipsychotic (e.g. Haloperidol)
FYI: Benzo's would exacerbate the delirium |
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Compare/contrast delirium vs dementia
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DELIRIUM:
ALTERNATING levels of consciousness (rapid changes thru the day) attributable to an ACUTE process REVERSIBLE DEMENTIA: CONSISTENT level of consciousness thru the day rarely attributable to an acute process IRREVERSIBLE |
