delirum n dementia over Flashcards
(7 cards)
main diff dementia vs delirium
delirium
acute +usually reversible + nearly always has a non-neurologic etiology
dementia =
chronic +seldom reversible
delirium main causes
hot VINTageS (cardio);
V= cerebroVascular; CardioVascular;
IN
T= toxic/metabolic;
Toxic:rx and metabolic= miscellaneous
hint: delirium etiology
- cerebroVascular;/ bebe qui delire qui se fait tirer dans un coin par un ? tenu par une mouse qui a visiblement une stroke
- CardioVascular;/ bebe qui delire en bas qui se fait tirer vers le bas par un ? tenu par un paillaisson qui joue mission impossible
- I /bebe qui delire en haut qui se fait tirer vers le bas par un ? tenu par la lune qui a des infections=> plein de pt lunes atour avec des tete de microbes
- N /bebe qui delire qui se fait tirer a’ droite par un ? tenu par une momie, the bandage around body pink rubban= cancer
- toxic/ bebe qui delire et qui rebondit et qui va a’ droite et a’ gauche qui se fait tirer par un ? tenu une tete de mort qui conduit un lawn mower
- metabolic;/ bebe qui delire et qui rebondit et qui va a’ droite et a’ g auche en ht et en bas, qui se fait tirer par un ? tenu par une mule qui travaille dans une usine et qui refuse d’aller plus vite
dementia/
common causes by prevalence
- Alzheimer dementia (has tne name of smone)
- Dementia with Lewy bodies (also has the nameo of someone but a LONG name)
- Vascular dementia
- Frontotemporal dementia
- Alcohol-related
dementia/ uncommon causes
HEENT
Hypothyroidism
nutrition/ Vit B deficiency
hemo/fluid:
Subdural hematoma
Normal-pressure hydrocephalus
Infectious
(1) Syphilis
(2) Prion disease
hint: dementia/other, 13= riding = hav sex w
- Hypothyroidism/ nose w a tiny noeud pap x faire cool
- nutrition/ Vit B deficiency/net ==tapis and go to souk to steal food but all the good food pass thru
- Subdural hematoma/ neon: falls on head=> subdural hematoma
- Normal-pressure hydrocephalus/gnome: bec he has a big head full of h20
- (1) Syphilis/winner: bec he is famous but we forgot he has syphillis
- (2) Prion disease/nail: et tu pries que ca ne fera pas mal comme jesus
dementia or delirium/
waxing and waning sx +disorientation +inattentiveness…diff?
must not miss
Delirium caused by hot vinTage T= toxic and metabolic/
after postsurgical state ; during and after/
fluid and electrolyte abnl;
cardiac ischemia => hypoxia or hypercarbia;
rx
must not miss:
Delirium caused by alcohol withdrawal/
other alt:Delirium caused by stroke; seizure; or meningitis (V; E; I)
hnt: bebe qui delire qui appuie sur le bouton emergency=> 28 ca coupe
- alcohol withdrawal/ un vase, vase plein d’EtOH = like a pinada to cool down son delire
- stroke; /coupe une video de kelk1 qui ki a un stroke, garde seulement la partie normale
- seizure;/le telephone parce que la personne au bout du fil a’ une seizure , can’t speak anymore, don’t need phone anymore
- meningitis/ the foam use to decr. the fire on the meninges/, u can dry to fill up the spinal canal but at one point, un need to cut down
differential dx for cognitive decline in elderly
Dementia; most commonly
Alzheimer type/
must not miss:
Delirium/
Depression/
active alt:Vascular dementia
hint: cognitive decline= not the sharpest tool in the shed. Dr. House: where is the sharpest tool in the shed= cognitive decline? dr. H , in the shed, barks (17 ) at a goose (70) who is having dementia==Alzheimer type/
must not miss/
sharpest tool in the sed is gone=> someone press the emergency button
28+80=> coupe un vase contenant un bebe ki delire/ Delirium/
28+81- coupe une video de la grande Depression
*dementia/Vascular Dementia/
risk factors/
sx
risk factors: vascular disease=> risk of cerebrovascular dz/
sx=
dementia+
difficulty walking/
“step-like” deterioration
hint: dementia/risk factor image: had a big nose and the tip of the nose is dying bc not AC blood= artherosclerosis
dementia/ ass cond= accomplices, walk w a nail otherwise can’t walk. n also to nail in place the memory, healthy person walks on nacho stairs=> cracks and health deteriorates