Cognitive Issues Flashcards
Conversion Disorder
Might look like the traumatic event they’ve just been exposed to (father had a stroke now daughter has numbness)
Neurosyphillis
Argyll Rob Pupil (accomodates but does not restrict, small pupil)
Diminished vibratory sense on legs, no ankle reflex
Transient global amnesia
Can be provoked via IV/Intra-arerial iodinated contrast, hyperviscosity states or idiopathic (aybe related to venous congestion in meory areas
Rarely recurs, complete recovery
Paraneoplastic disorder
Fairly rapid timecourse, with amnesia, looks like herpes encephalitis, but intead is…
Testicular malignancy + anti-Ma ab…irreversible memory loss/agitation :(
Hypoxic ischemic encephalopathy
Comp of cardiac surgery known as pump head, from multiple micro-emboli, thought to improve
Difficulty multitasking etc
Concussive disorder
Sleep distrub, mood change, poor conc, memory, lightheadedness, nausea
Persist days to months, no contact sports immediately
CJ Disease
Personality change over 3 months, disinterested, apathetic, dysarthria, startle response, getting lost
Dx w/ characteristic abnormaliies in post hemispheres on diffusion weighted MRI and 14-3-3 protein in CSF
Mad-cow = slower in younger UK patients
Alzheimers
Paranoia, hoarding, visuospatial defecits
Give quetiapine in older age group
Depression
Different than alzheimers if sleep disturbance and loss of interest? Hmm…
Brain death
Glasgow Coma Scale has score of 3
Spouse would be first decision maker
Unresponsive, on vent, no corneal response, fixed pupils, no cold caloric testing
Dementia
Cog impairment more than memory, severe enough to interfere w/ occupational/social functioning
Just amnestic/nonamnestic single domain dysfn = Mild Cog Imp can progress to dementia
Do board games and play music and maybe exercise to stop progression!
Modify early dementia w/ galantamine (Razadyne), Donepezil (Aricept) and rivastigmine (exelon)
