Dementia Flashcards
1
Q
def dementia
A
syndrome of progressive deter. of cog. function sufficient to impact on daily life and occupational function
2
Q
clinical aspects to assess for dimentia (9)
A
- attention problems
- memory problems
- language problems
- visuospatial probs (getting lost)
- exec. problems (planning)
- praxis problems (doing things in order)
- personality and behav. probs.
- mood
- probs. with daily function
3
Q
what should be taken on hX (3)
A
- past medical
- meds
- assoc. Sx
4
Q
what is major risk factor
A
CV risk factors
5
Q
what does cog. testing do
A
confirms the nature of deficits
6
Q
what vitals are important
A
- hypertension
2. orthostatic HT (lewy body dementia)
7
Q
9 things not to miss
A
- treatable causes of dementia
- infections
- neoplastic
- toxic - esp alc/benzos
- obs. sleep apnea
- psych - esp depression
- vascular
- autoimmune encephalopathies
- epilepsy
8
Q
3 stages of mem. loss
A
- normal
- mild cog. impariment (prodrome)
- dementia
9
Q
def of alzhemiers (3)
A
- memory impairment
- one of aphasia, apraxia, agnosia, exec. function
- loss of social or occ. funciton FROM BEFORE
10
Q
time from early to death
A
9 years
11
Q
stages of alz and MMSE scores
A
- cog. Sx 25-30
- loss of funct. indep 20-25
- behav. problems 10-20
- nursing home placement 0-10
12
Q
strongest risk for dementia
A
age
13
Q
protective factors
A
- cog, reserve
- excercise
- healthy diet
- leisure
14
Q
risk factors
A
- genes
- CVD
- HT
- Diabetes
- cholesterol
- obeisity
- smoking
15
Q
2 features on path of dementia
A
- plaques of amyloid
2. tangles of Tau
