OME - Dementia Flashcards
1
Q
DDx memory loss?
A
- Dementia
- Amnesia
- Delirium
2
Q
Presentation dementia?
A
- Cognitive impairment - loss ADLs / executive function
- Memory Loss
- Slow onset: chronic course
3
Q
Presentation amnesia?
A
- No cognitive impairment
2. Only Memory loss
4
Q
Presentation delirium?
A
- Cognitive impairment
- Memory Loss
- Rapid onset: waxes and wanes
5
Q
Score on MMSE indicative of dementia / cognitive impairment?
A
Less than 22
6
Q
What is mild cognitive impairment?
A
- MMSE positive for impairment
2. ADLs / executive function not impacted
7
Q
Reversible imitators of dementia? Test to rule out?
A
- Hypothyroidism: TSH / T4
- BMP: Cr/BUN
- Cirrhosis: LFTs:
- B12
- Depression
- Syphilis
8
Q
Preferred imaging in Dementia?
A
CT
9
Q
Most common for dementia?
A
Alzheimer’s disease
10
Q
Pathology Alzheimer’s?
A
Plaques and tangles
Associated with chromosome 21
11
Q
Presentation Alzheimer’s?
A
- ST memory goes first, then LT
- Elderly, slow onset
- Usually spares social graces
12
Q
CT alzheimers?
A
Diffuse cortical atrophy
13
Q
Rx Alzheimer’s?
A
- Supportive care
2. Family education
14
Q
Presentation Frontotemporal degeneration?
A
“Pick’s Disease”
- Personality Goes first: NO FILTER
- Memory retained at first
- Hypersexual
- Hyper Aggressive
15
Q
Imaging Picks?
A
Frontotemporal degeneration
