Dementia Flashcards
What do pt with dementia usually present with ?
Psychosis in 50% of them
30% have paranoid delusions ( body double )
50% hallucinations visual > auditory
What is the most common cause of dementia ?
Alzheimer’s disease
Define Dementia الخرف
Memory impairment present as : .Aphasia loss of speech .Apraxia can’t wear his shoes shirt .Agnosia .Executive dysfunction planning organizing sequencing abstracting \+ SOD social / occupational dysfunction * in a lucid consciousness حاضر ذهنياً Insidious onset “gradual “
How to measure memory
Mini mental state examination
True or false
Low MMSE = have Dementia
False
You can have normal mmse and have dementia or low mmse and not have dementia
The mmse sections and scoring
Orientation TPP time
Place site and location
Persone
Cognitive memory imminent short and long
Attention and concentration
ACE test
Standardized memory measurement test
Bb
Delirium definition هذيان
Acute
Transient Vs deterioramenti
Inattentive due to infection e.g uti chest malaria heart renal failure vs good organic cause
Delirium causes
B
Differentiate between delirium dementia and depression the 3D’s
Onset fluctuating vs insidious Course Duration Consciousness Attention Psychomotor change Reversibility
Visuospatial problem
Can’t get home by himself or get lost to familiar places
AD
Deteriorating memory clinically and mmse scores chronic course
Vascular dementia
Classic
DLB
Vivid hallucinations
Fluctuations
Parkinson’s
Avoid typical antipsychotic
Management delirium
Hospital Addison
Give benzodiazepines
Treat under cause
