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Flashcards in 9 Elderly - Dementia Deck (13):
1

What is the single point of referral for all people with suspected diagnosis of dementia

memory assessment clinics

2

How do we make a diagnosis of dementia

pt and carer history
cognitive testing

rule out other causes: blood tests, medication, delirium, depression

3

MMSE levels

normal 26-30
mild 21-25
moderate 10-20
severe 0-9

4

4 dementia assessment tools

MMSE
ACE-R (Addenbrooke's cognitive examination - revised)
MOCA (Motreal cognative assessment)
Clock drawing

5

Reversible types of dementia

Depression
Delirium
Drugs
Subdural haemorrhage
Tumout
Syphilis
Vit B12 & folate deficiency
Hypothyroidism
Hypoglycemaia
Low Na
High Ca

6

Drugs that contribute to cognitive impairment

Antihistamines
Bz

Oxybutanin
PD drugs
Antidepresants
Li

Steroids
Opiates
Anti psychotics
Phenytoin (antiepileptics)

7

Treatments for AZ

mild-moderate: anticholinesterases
miderate-severe: memantine

8

side-effects of anticholinesterases

g

9

side-effects of anticholinesterases

nausea vom diarrhoea - transient or consider rivastigmine patch
weight loss
muscle weakness
syncope
urinary retention

10

AChEi are contraindicated with

glaucoma
uncontrolled COPD
severe hepatic and renal impairment

sick sinus syndrome
unexplained syncope

11

AChEi for vascular dementia?

no significant benifit proven?

12

What is memantine

NMDA receptor agonist

13

future treatments for AD

Vaccines
MABs against Beta amyloid
vit E

Identifying biomarkers