Dementia Flashcards
1
Q
What are the criteria for dementia? (2)
A
Deficit in cognition and memory
Clear consciousness
Affecting ADL
2
Q
Name 3 psychiatric differentials for memory loss. (3)
A
- Depression (low mood predominates)
- Alzheimers (progressive)
- Lewy body dementia (associated with parkinsonism and hallucinations)
- Vascular dementia (RF’s, step wise deterioration)
- Fronto-temporal dementia (Pick’s) (change in personality and inappropriate behaviours)
3
Q
Name 3 medical differentials for memory loss. (3)
A
Delirium (clouded consciousness) UTI Pneumonia B12 deficiency Hypothyroid Dehydration Hypoxia
4
Q
Name 2 drugs used in the management of Alzheimer’s disease. (2)
A
Glutamate inhibitors (memantine) Anti-cholinesterase inhibitors (donepezil)
5
Q
Describe cognition of the MSE in a person with memory loss. (2)
A
Repeat 3 words Orientation Concentration (WORLD) Name 2 objects Close your eyes -written Prime minister Name the 3 words
6
Q
Describe cognition of the MSE in a person with memory loss. (2)
A
Repeat 3 words Orientation Concentration (WORLD) Name 2 objects Close your eyes -written Prime minister Name the 3 words
7
Q
What is delirium? (2)
A
Acute or subacute state where impairment of consciousness is accompanied by abnormalities of perception and mood.
8
Q
Name 2 causes of delirium. (2)
A
Infection* Drugs* (TCAs, Opiates, Benzodiazepines) Drug/alcohol withdrawal LF RF Hypoxia Hypoglycaemia Vitamin B12 deficiency Wernicke-Korsakoff SAH Brain abscess
