Collateral history - Delerium/Dementia Flashcards
What would you want to establish before taking a collateral history?
Who you are taking the collateral history from - daughter/son/grandson/daughter/carers etc.
What would you want to ask in terms of HPC as part of a collateral history in someone with delerium/dementia?
- Onset
- Progression
- Triggers
-
Associated symptoms
- Depression
- Psych symptoms
- Behvioural
- Sleeping pattern
- Cognitive
What would you specifically ask about in PMH for someone showing features of delerium/dementia?
- Parkinson’s disease
- Vascular disease
- Diabetes
- Head injuries
- Recent infections
What would you want to ask about in the drug history when taking a collateral history for delerium/dementia?
- BP meds
- Diabetes meds
- Alzheimers drugs
- New medications
- Allergies
What would you want to ask about in family history as part of a collateral history for delerium/dementia?
- Dementia
- Vascular disease
- Depression
What would you want to ask about in the social history as part of a collateral history for delerium/dementia?
- Living circumstances
- Mobility/aids
- Effect on ADLs
- Working
- Driving
- Smoking/alcohol
- RISK - self/others
- Carer’s needs
What are the 5 A’s of alzheimers?
- Anomia
- Apraxia
- Agnosia
- Amnesia
- Aphasia
What is the most common cause of dementia?
Alzheimer’s
What might point towards vascular dementia?
- CVS risk factors
- Stepwise deterioration
- Focal neurology
What would point towards a diagnosis of Lewy-Body Dementia?
- Progressive
- Daily fluctuations of awareness
- Parkinsonian features
- Psychiatric features - hallucinations
What are other causes of dementia besides Alzheimer’s, vascular and lewy-body?
- Frontotemporal dementia
- CJD
- Depression
- HIV
- Huntington’s disease
- Normal pressure hydrocephalus
- SOL
- Nutritional - B12, thiamine
- Alcohol abuse
- Neurosyphilis
- Hypothyroidism
- Autoimmune/paraneoplastic
