delirum n dementia d2

Question 1

delirium/postoperative delirium/

possible causes

Answer 1

se^datives and

paⁱⁿ m^edications (^anes_thesia); and

flu_id sh^ifts

hint: post operative delirium/ etiology

bb delire dns son lit d’hosto=>

1. sedatives / mouse tries to feed him some poison: comme just eat that to “sleep”
2. pain medications/ mat: u r in pain just put your whole yoga mat and u in a giant ,bottle of med. the yoga mat hold everyone by the ? so they don’t fall in the bottom of the bottle
3. fluid shifts/moon : pull on the water in the body and sea by the ?=> the shift

Question 2

*delirium/alcohol withdrawal sequence

Answer 2

first 2 days:

agi_tation=irrita^bility;

hy^perten^sion; and ta^chycard_ia

S_eizures /

Alc^oholic halluc^inosis (visual)/

first 3–5 days

Delirium tremens=Major withdrawal=

Con^fusion; disorientation; and autonomic hyperactivity are

Question 3

delirium/Delirium tremens can be fatal ?

Answer 3

yess!!!

Question 4

delirium/Delirium tremens/

risk factors?

Answer 4

hx of s_evere a_lcohol abuse

Question 5

delirium/Wernicke encephalopathy/

cause

Answer 5

thi_amine defi_ciency.

Question 6

delirium/Wernicke encephalopathy

/sx

Answer 6

triad =con_fusion; dis^orders of o^cular mo^vement; and at^axia. /

HOWEVER:usually presents with only 1 or 2 / 3 features!!!/

note:co_nfusion commonly manifests as d^isorien^tation and i^ndifference

hint:

wernicker

Question 7

delirium/Wernicke encephalopathy/

what is Korsakoff syndrome?

Answer 7

chro^nic form of Wernicke encephalopathy

Question 8

delirium/Wernicke encephalopathy/

Korsakoff syndrome/ sx

Answer 8

mem^{ory pr}oblems + resultin^{g confabu}lation

Question 9

delirium/Wernicke encephalopathy/

type of delirium/ fluctuating or not

Answer 9

N^OT fluctu^ating

Question 10

delirium/Wernicke encephalopathy vs Delirium tremens/

Delirium tremens ..

Answer 10

Alw. preceded by minor withdrawal

/Adrenergic overactivity (f^ever; H^TN; ta^chycar^dia; )

is always present …unless masked by rx

Question 11

dementia/decline in cognitive status/

diff (3)

Answer 11

AD/

vas_cular de_mentia/

m^ild co_gnitive imp^airment (MCI);

Question 12

dementia/mild cognitive impairment (MCI)/

def

Answer 12

syndrome of mem^ory lo^ss ++ sev^{ere t}han nl /

ag^e-related cognitive decline/

NO fun_ctional impa^irment

Question 13

dementia/ memory loss reported by family member vs reported by pt himself/herself/ consider dx

Answer 13

de_mentia (reported by fa^{m. m}ember) vs.

de^pression(reported by ^pt)

Question 14

dementia/Multi-infarct Dementia/

other names

Answer 14

Va^scular Dem^entia

Question 15

dementia/

Vascular Dementia/ how common?

Answer 15

+++ common cause of de_mentia af^ter AD

Question 16

dementia/Vascular Dementia/

sx

Answer 16

dem_entia +

UMN sx: (down to up)

g^ait disturbance;

u^rinary sx;

pers_onality ch^anges=ps^eudo b^ulbar

Question 17

dementia/Dementia with Lewy Bodies (DLB)/

sx?

Answer 17

1. dem_entia (Fluctuating cognition + pronounced variations in attention and alertness)+
2. (body of) m_otor features of par^kinsonis_m (parkinson => Lewy)+
3. R_ecurr^ent vis^ual hall^ucinati^ons t(well formed and detailed)