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Dementia
Dementia
- related: Geriatrics
Reversible Causes
- TSH/T4
- CMP: BUN/Cr
- LFT: liver cirrhosis
- B12
- RPR
- Screen for depression/pseudodementia
- CT/MRI: look for hydrocephalus, hematoma
Dementia, delirium, amnesia, MCI
- Dementia: cognitive impairment (attention, concentration, speech), memory loss; chronic, insiduous, permanent
- Delirium: cognitive impairment, memory loss; acute, overt, wax/wane, reversible
- Amnesia: no cognitive impairment, memory los
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Medicine
Medicine
Todos
- tolearn
- MKSAP todos
- heart murmurs
Organ Systems
- Allergy and Immunology
- Rheumatology
- Cardiology
- Dermatology
- Endocrine
- ENT
- GI
- Hemeonc
- ID
- MSK
- Nephrology
- Urology
- Neurology
- Pulmonology
- Podiatry
Subject Areas
- General
- Biostats
- Psychiatry
- [[Geriatric
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Parkinsons
parkinsons
- related: Geriatrics
- tags: #note
Most medications for Parkinson disease increase dopamine activity, either through direct receptor stimulation (eg, dopamine agonists, carbidopa/levodopa), decreased dopamine breakdown (eg, monoamine oxidase [MAO-B] inhibitors), or increased dopamine release (eg, amantadine). Other medications include anticholinergics (which can decrease acetylcholine effect in relation to dopamine effect) and cat
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ALF
ALF
- related: Geriatrics
Home
- No 24 hour supervision
- Home: able to perform ADLs/IADLs or someone can help
- if patient has dementia and need monitoring
- memory clinic, usually ALF
ILF
- Independent living facility (ILF)
- like an apartment, someone can pass out meds, maybe 1 PT for whole facility
- $3000-$5000 a month
- sometimes Medicaid can cover. Medicaid does not cover dementia
- Medicare does not cover
ALF
- Assisted living facility (ALF
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Hospice
Hospice
- related: Geriatrics
- CNA 1x-2x/week 2-3 hours nurse 1x/week rest beds: 1 week temporary stay DME: medicare equivalent: hospital beds, bedside commode, wheel chair med management
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Fall in Elderly Patients
fall in elderly patients
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related: Geriatrics
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break hip: worst mortality, more than heart attack
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2 year mortlality 50%
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end stage mobility dysfunction
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contributions
- orthostasis
- decreased muscle mass, nutrition
- polypharmacy
- parkinson movement
- urinary
- sensory issues
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AMPAC score: 24 points mobility score, if > 20 does not need PT
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Neuropsychiatric Testing
neuropsychiatric testing
- related: Geriatrics
What is neuropsychiatric testing
- battery of tests. 2-4 hours
- 100's of test by psychologists for cognition
- Domains of cognition
- memory
- attention
- verbal: tested the most
- executive
- visual spatial
- In dementia, usually memory, executive functions go first. Verbal goes late
- MOCA, Mini cog, IQ test
- AVLT: audio verbal learning tool. Ability to learn and remember
- Trails A & B
- Boston naming
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Polypharmacy and Medications in Elderly
polypharmacy and medications in elderly
- related: Geriatrics
- tags: #note
Polypharmacy is common in older individuals and leads to adverse drug reactions, drug-drug interactions, prescribing cascades, and non-adherence. Prescribing cascades occur when an adverse drug event is misinterpreted as a new medical condition and leads to further drug therapy with additional potentially adverse effe
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Medicine
Todos
Organ Systems
- Allergy and Immunology
- Rheumatology
- Cardiology
- Dermatology
- Endocrine
- ENT
- GI
- Hemeonc
- ID
- MSK
- Nephrology
- Urology
- Neurology
- Pulmonology
- Podiatry
Subject Areas