Dementia Flashcards
(15 cards)
What is the most common cause of Dementia?
Alzheimer Disease
What diagnostic testing options are available for dementia?
MRI of brain
VDRL or RPR to r/o syphillis
B12 with possible Methylmalonic acid level
Thyroid function tests
What treatment options are available for dementia?
Donepezil, Rivastigmine, and Galantamine to increase Ach
Memantine
What is Lewy Body Dementia associated with?
Parkinson Disease
How is Lew Body Dementia Treated?
Dopamine agonists and replacement for Parkinson
AChe inhibitors for Azlheimer Disease
What is lost first in Frontotemporal Dementia (pick disease)?
Emotion and social appropriateness
-loss of empathy
-disinhibition: kiss strangers, urinate in public
-Hyperorality
Memory lost later
How do you treat Frontotemporal Dementia (Pick disease)?
Antipsychotics
What is Creutzfeldt-Jakob Disease (CJD)?
Rapidly progressive dementia characterized by myoclonic jerks provoked by started
How do you test for CJD?
MRI: widespread atrophy, cortical enhancement, diffuse bright signals
reat-time quaking induced converstion test
CSF: 14-3-3 protein
Biopsy
What is the most accurate test for CJD?
Biopsy
What is seen in CSF for CJD?
14-3-3 protein
What is seen on MRI for CJD?
Widespread atrophy, cortical enhancement and diffuse bright signals
How does Normal Pressure Hydrocephalus (NPH) present?
Wet, wacky, and wobbly
How do you diagnose NPH?
Head scan
How do you treat NPH?
Shunt
