old age psychiatry Flashcards
1
Q
How long do symptoms have to be present for a diagnosis of dementia
A
6 months
2
Q
What is the presentation of vascular dementia
A
- Step wise decline with sudden changes - they are fine and then they get worse and then it stabilises and then they get worse
- CVS history
3
Q
What is the presentation of Lewy body dementia
A
- visual hallucinations
- Fluctuations
- Parkinsonism after the dementia symptoms come
- Sensitive to antipsychotics
4
Q
What is the presentation of Frontotemporal dementia
A
- Early emotional blunting
- personality change
- Speech disorder
- Abnormalities in frontotemporal lobe
5
Q
What is the management of mild to moderate alzheimers dementia
A
Achetylcholinesterase inhibitors:
- Donepezil
- Rivastigmine
- Galantamine
6
Q
What is the management of moderate to severe alzheimers dementia
A
Memantine - glutamate receptor antagonist
7
Q
What is the first line for frontotemporal dementia
A
SSRIs - Sertraline
