Organic psychiatry + Old age psy

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Author:
trincam2008
ID:
277591
Filename:
Organic psychiatry + Old age psy
Updated:
2014-06-25 15:59:55
Tags:
psy organic
Folders:
psy
Description:
Overview
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  1. Overview
    • 1. Delirium 
    • 2. Dementia
    • 3. Amnesic syndrome + Transient global amnesia
    • 4. Frontal lobe syndrome
    • 5. Head injury
    • 6. Parkinson's disease
    • 7. Multiple sclerosis
    • 8. Stroke
    • 9. Eplilepsy
  2. Dementia - younger pt
    • 1. Frontotemporal lobar degeneration
    • 2. Huntington's disease (Huntington's chorea)
    • 3. HIV dementia (HIV encephalopathy)
    • 4. Normal pressure hydrocephalus
    • 5. Prion diseases (transmissible spongiform encephalopathies)
  3. Parkinson's disease x3
    • - Depression
    • - Parkinson's disease dementia
    • - Psychotic symptoms
  4. Frontotemporal lobar degeneration - FLD
    - Pathology
    - Clinical forms
    • 1. - Pick's disease - Pick's bodies
    • - FTLD-U (FLT with tau-negative ubiquinated inclusions)

    • 2. - Frontotemporal dementia (frontal lobe syndrome with prominent dishibition and social/personality changes)
    • - Semantic dementia (preogressive loss of understanding of verbal and visual meaning)
    • - Progressive non-fluent aphasia (naming difficulties and progresses to mutism)
  5. Normal pressure hydrocephalus - triad
    • Distortion of periventricular white matter tracts -> triad
    • - dementia (subcortical)
    • - unsteady gait
    • - urinary incontinence
  6. Prion disease forms
    • - Main human form Creutfeldt-Jacob disease (CJD): most common is sporadic CJD
    • - Other human types: variant CJD, iatrogenic CJD, kuru
  7. Parkinsons' classic triad of extra-pyramidal symptoms
    • - tremor (pill-rolling type)
    • - rigidity (experienced as stiffness)
    • - bradykinesia (slowed movement)
  8. Old age psy - Dementia
    • 1. Alzheimer's disease
    • 2. Vascular dementia
    • 3. Dementia with Lewy bodies
  9. Quick:  Alzheimer's disease
    (histopath, onset, course, main features, personality)
    • Plages and tangles.
    • Insidious onset. 
    • Gradual decline. 
    • 4As: Amnesia, Aphasia, Agnosia, Apraxia
  10. Quick: Vascular dementia 

    (histopath, onset, course, main features, personality)
    • - multiple cortical infarcts, arteriosclerosis
    • - sudden onset
    • - stepwise decline
    • - patchy cognitive impariment
  11. Quick:  DLB
    (histopath, onset, course, main features, personality)
    • - Lewy bodies
    • - varies onset
    • - gradual decline
    • - fluctuating cognition, visual hallucinations, parkinsonian symptoms
  12. Mx of old age psy
    • 1. Adaptations for pt
    • 2. Social support
    • 3. Support carers
    • 4. Optimize physical health
    • 5. Psy therapies
    • - Behaviour approaches
    • - Reminiscence therapy
    • - Validation therapy
    • - Multisensory therapy
    • - Cognitive stimulation therapy
    • 6. Psychotrophic meds
    • - Treat comorbid
    • - ACIs (acetylcholine inhibitors) e.g. donepezil, rivastigmine

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