delirium and dementia Flashcards
delirium
disturbance of consciousness with reduced ability to focus,sustain or shift attention
change in cognition(memory,dieorientation,language) that is not better accounted for by a preexisting dementia
onset of delirium
acute and develop over short period of time and tends to fluctuate during course of day
conditions associated with delirium
CNS disorders
metabolic
cardiopulmonary
systemic illness
substance abuse or withdrawal
dementia
multiple cognitive deficits that include memory impairment
at least one of following:aphasia,apraxia,agnosia or a disturbance in executive functioning (ability to think abstractly and to plan,initiate,monitor and stop a complex behavior)
deficit is severe to cause occupational and social impairment and must represent a decline from preveious level of functioning
delirium vs. dementia
delirium: acute,clouded sensorium,fluctuating course,multiple cognitive deficit,language impairment,autonomic instability,reversible
Dementia: insidious onset,clear sensorium,multiple cognitive deficit,language impairment,irreversible
dementia classification
degenrative dementia
alzheimer’s
dementia with lewy bodies
Pick disease
subcortical dementia
parkinson’s
progressive supranuclear palsy
wilson’s
huntington’s
AIDS dementia
hydrocephalus
subcortical and cortical dementia
amnestic disorders
memory impairment in absence of any other cognitive deficits
thiamine deficiency
seizures
cerebral tumors
hypoxia
ECT
substance induced
lewy body dementia
spontaneous extrapyramidal features
marked fluctuation in alertness or cognitive abilities
visual hallucinations
syncopy
unprovoked falls
neuroleptic sensitivity
delusions
non-visual hallucinations
pseudodementia vs. dementia
pseudodementia vs. dementia
