dementia

Question 1

what investigations are recommended to assess someone with possible dementia?

Answer 1

FBC UE LFT
calcium, glucose, ESR/CRP
TFTs, B12 + folate

CT head

Question 2

what scoring using ACE-3 addenbrookes cognitive exam suggests dementia, and what are the domains?

Answer 2

82 or less suggests dementia

memory
attention
fluency
language
visuospatial

Question 3

what domains are effected by alzheimer’s dementia?

Answer 3

global deficits in all domains
later, particular deficits seen in memory + attention inkeeping with damage to medial temporal lobe

Question 4

what domains are effected by frontotemporal dementia?

Answer 4

fluency
language
reflecting damage to frontal lobe

Question 5

what domains are effected by vascular dementia?

Answer 5

depends on if there was a previous stroke + location of this damage
no consistent pattern seen

Question 6

what domains are effected by mild cognitive impairment?

Answer 6

MCI is a prodromal phase to many forms of dementia that includes a cognitive deficit but normal functioning

82-88 suggests MCI

Question 7

what domains are effected by Parkinson’s dementia?

Answer 7

visuospatial domain
memory
attention

Question 8

list in order of most common types of dementia

Answer 8

alzheimers dementia
vascular dementia
lewy body dementia
frontotemporal dementia