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Psych > Vascular Dementia > Flashcards

Vascular Dementia Flashcards

1
Q

Type of dementia?

A

Secondary dementia due to ischaemia

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2
Q

Aetiology?

A

Thromboembolic or hypertensive cerebral infarcts of s/m vessels in cortex and white matter - causing cognitive impairment.

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3
Q

3 subtypes?

A

Stroke-related
Subcortical VaD - small vessel disease/Binswanger disease
Mixed - AZD & VaD

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4
Q

Risk Factors?

A 
ϖ	Stroke/TIA history
ϖ	Atrial fibrillation
ϖ	Hypertension
ϖ	Diabetes
ϖ	Hyperlipidaemia
ϖ	Smoking
ϖ	Obesity
ϖ	Coronary heart disease
ϖ	FM of CV disease
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5
Q

Core clinical features? (6)

A

Emotional and personality change - early sign
Cognitive deficits - incl memory , nocturnal confusion
Anxiety
Depressive episodes
Labile & confused episodes
Seizures

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6
Q

Style of disease progress?

A

Stepwise deterioration and intervening stabillity

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7
Q

Mx?

A

Identify cause and treat accordingly

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8
Q

What medications are not recommended by NICE?

A

ACh-i

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9
Q

Prognosis?

A

3-5 years

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10
Q

What medication should not be given if already on statin?

A

Beta blockers - rhabdomyolysis

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