Dementia

Question 1

what are some examples of dementia

Answer 1

Alzhemiers
vascular
lewy body
frontotemporal

Question 2

S/S of dementia/Alz

Answer 2

Short term memory loss
Executive dysfxn
Sleep disturbance 
Agitation
Aggression

Question 3

How do you Dx dementia/Alz

Answer 3

MMSE, MOCA (<24)
Neuro exam (FND)
Imaging: MRI (atrpohy of hippocampus, medial temporal lobes)
Labs: TSH, Vit B12, LFT, Renal Fxn, Glucose, CBC

Question 4

what re RF for Alz

Answer 4

Female >65
FHx
brain trauma
T2DM
HTN, CVD

Question 5

how do you tx Alz

Answer 5

Donepezil (cholinesterase inhibitor) 
- Rivastigmine, Galantamine
Memantine (NMDA antagonist) 
Antipsychotic meds 
SSRI (depression)