Geriatrics Flashcards
Most common incontinence in elderley
Urge
Episodic memory preserved in?
Vascular dementia
Episodic memory is memory of specific long term events (e.g 7th birthday)
Psychotic sx dementia - Rx?
Risperidone
Psychotic sx delirium
Haloperidol
SSRI causing weight loss
Citalopram, fluoxetine, paroxetine
Highest predictor of delirium
dementia
Treatment for FTD
No convincing evidence for any treatment for FTD currently
What does time stand up and go test quantify?
Falls risk
Pressure ulcer management principals (3)
Debridement - remove necrotic tissue to allow new granulation to grow
Cleansing - normal saline (protects new granulation tissue), or antiseptics
Dressing
MMSE deficits in Alzheimers
Orientation
Short term recall
MMSE deficits in DLB
Early loss of
- Visuospatial - pentagons, clock
- Serial 7s
FTD MMSE performacne
usually preserved MMSE initially
Later, lose frontal
- Verbal fluency
Memory of objects, concepts, facts
Semantic (ability to read)
Memory of riding bike, tying shoes
Procedural
3 types of episodic memory
Immediate recall (repeat sequence of numbers)
Recent events (recent events)
Remote recall (distant memories)
3 types of episodic memory
Immediate recall (repeat sequence of numbers)
Recent events (recent events)
Remote recall (distant memories)
Cingulate island sign
Seen in Lewy Body
Posterior cingulate spared in FDG-PET (compared with alzheimers
Areas in PET affected in Lewy Body
Occiptal lobes
Use of PET in dementia
Can be useful to differentiate between AD, FTD and LBD in complex dementias/atypical presentations
Stimulant laxatives
Senna
Bisacodyl
Softener laxatives
Docusate (coloxyl)
Osmotic laxatives
Lactulose
Bulking agents
Psyllium
Methylcellulose
Leading cause of blindness in developed world elderley
Age related macular degeneration
Technique to determine if epidemic is due to the same organism is responsible for all the infections
Pulsed-field gel electrophoresis
Highest risk of NSAID associated gastric ulcer
Advanced age
Donepezil benefits
Small
- improvement cognition (MMSE)
- ADL’s
- Neuropsychiatric symptoms
Does NOT delay progression
Longest sleep phase
N2 - NREM 2
Most common plaque in Alzheimer’s?
Beta amyloid
Tau causes NF tangles
