DEMENTIA-1 - DEMENTIAS Pat Borman, MD Director Advanced...

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DEMENTIAS Pat Borman, MD Director Advanced Training in Geriatrics
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GOALS IN DEMENTIA Evaluation and Diagnosis Current Therapy for Dementia Complications Resources for the Caregivers
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DEFINITION OF DEMENTIA MEMORY IMPAIRMENT AND One or more: APHASIA APRAXIA AGNOSIA VISUOSPATIAL LOSS OF EXECUTIVE FUNCTION Gradual, Progressive, Impairs function: social, job, family, no other explainations
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TYPES OF DEMENTIA Alzheimers Memory, Language, Visuospatial, Indifferent to Loss Frontotemporal (Picks) Memory, Marked Personality changes, Preserved visuospatial Lewey Body: Visual hallucinations, delusions, flucutating mental status
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TYPES OF DEMENTIA Parkinson’s Disease 15-30% develop dementia Vascular Dementia Progressive Supranuclear Palsy The Rare Birds: Late onset Metobolic Disease Creutzfeld-Jacob
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EVALUATION HISTORY HPI, Medical, Medications, Psychiatric, Functional, Caregiver EXAM Physical, Neurologic, Psychiatric, Cognitive Testing
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EVALUATION LABORATORY Blood Work CBC, TSH, Chem 7, Ca 2+, B12, Folate RPR Imaging CT or MRI Other Studies LP, neuropsychiatric testing, EEG, SPECT, PET
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DIFFERENTIAL DIAGNOSIS DEPRESSION Pseudodementia CNS: Neoplasm, NPH, stroke Vascular: subdural, vasculitis, Endocrine: Thyroid, Calcium, Nutritional: B12, Thiamine,ETOH Infections: HIV, Cryptococcus
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CURRENT THERAPY CHOLINESTERASE INHIBITORS
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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DEMENTIA-1 - DEMENTIAS Pat Borman, MD Director Advanced...

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