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Jason's MD4 Transition To Practice > Intern Challenge #2 > Flashcards

Intern Challenge #2 Flashcards

1
Q

Common acute causes of cognitive decline in elderly?

A

Delirium
Neuro conditions (stroke, haem, seizure)
Alcohol/drugs

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2
Q

Subacute/chronic causes of cognitive decline in the elderly?

A

Dementia, BPSD
Depression
Psychiatric

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3
Q

Important features of physical exam? Start?

A

General: Well/Unwell, agitated, cachectic, safety?
Vitals: Temp, RR, Neuro, HR, BP

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4
Q

Specific examination for cog decline?

A

Neuro - focal deficits, localising signs
Mental state
Abdo exam: bladder/faeces palpable
DRE-prostate? UTI

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5
Q

Delirium criteria?

A

CAMS
IADA

I nattention
Acute fluctuant course
Disorganised thinking
Altered consciousness

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6
Q

Common causes of delirium

A 
Infection
Stroke
Nutrition
MEdications
Constipation
Sx, ANEAsTHESIA
COMORBIDIties
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7
Q

UTI investigations in elderly delirium?

A 
Rules out infection:
FBE
Cultures
UEC: renal function, LFTs
Bladder scan
Urine MCS
CMP: looking at Calcium
B12(years) and Folate (months)
BSL
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8
Q

Investigation for cognitive decline

A

CT brain

TFTs

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Jason's MD4 Transition To Practice (12 decks)

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