CONFUSION/MEMORY LOSS Flashcards
1
Q
confusion/memory loss key hx: time course
A
acute vs chronic/gradual
2
Q
confusion/memory loss key hx: associated sxs
A
constitutional, incontinence, ataxia, hypothyroid sxs, depression
3
Q
confusion/memory loss key hx: screen for delirium
A
waxing/waning level of alertness
4
Q
confusion/memory loss key hx: trauma
A
falls
5
Q
confusion/memory loss key hx: meds
A
medications/recent med changes
6
Q
confusion/memory loss key hx: med hx/soc hx
A
hx stroke/atherosclerotic vascular dz, syphilis, HIV RFs, alcohol use, vit b12 def
7
Q
confusion/memory loss key hx: fam hx
A
alzheimer/other neuro disorders
8
Q
confusion/memory loss key PE
A
VS complete neuro exam MMSE gait general PE: ENT, heart, lungs, abdomen, extremities
9
Q
vascular (multi-infarct) dementia ddx
A
alzheimer dz NPH chronic subdural hematoma intracranial neoplasm depression b12 def neurosyphilis hypothyroidism
10
Q
vascular (multi-infarct) dementia w/u
A
cbc vdrl/rpr serum b12 tsh mri brain ct head lp -- csf analysis
11
Q
alzheimer dz ddx
A
vascular dementia depression hypothyroidism chronic subdural hematoma NPH intracranial neoplasm b12 deficiency neurosyphilis
12
Q
alzheimer dz w/u
A
cbc vdrl/rpr serum b12 tsh mri brain ct head lp -- csf analysis
13
Q
nph ddx
A
alzheimer dz vascular dementia chronic subdural hematoma intracranial neoplasm depression b12 deficiency neurosyphilis hypothyroidism
14
Q
nph w/u
A
ct head mri brain lp -- opening pressure and CSF analysis serum b12 vdrl/rpr tsh
15
Q
creutzfeldt-jakob dz ddx
A
vascular dementia lewy body dementia wernicke encephalopathy nph chronic subdural hematoma intracranial neoplasm depression delirium b12 deficiency neurosyphilis
