Alzheimer's disease resident survival guide: Difference between revisions

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==Diagnosis==
==Diagnosis==
Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines.
Shown below is an [[algorithm]] summarizing the diagnosis of [[amnesia]] according to the the American Academy of Neurology guidelines:<ref name="pmid24459411">{{cite journal |vauthors=Jahn H |title=Memory loss in Alzheimer's disease |journal=Dialogues Clin Neurosci |volume=15 |issue=4 |pages=445–54 |date=December 2013 |pmid=24459411 |pmc=3898682 |doi= |url=}}</ref>
{{familytree/start |summary=PE diagnosis Algorithm.}}
<br />{{familytree/start |summary=PE diagnosis Algorithm.}}  
{{familytree | | | | A01 | | | A01= }}
{{familytree | | | | | | | | A01 |A01= Patient with [[amnesia]]}} {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
{{familytree | | | | |!| | | | }}
{{familytree | | | B01 | | | | | | | | B02 | | |B01= Acute onset|B02= Chronic onset}}
{{familytree | | | | B01 | | | B01= }}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | |,|-|^|-|.| | }}
{{familytree | | | |!| | | | | | | | | B01 |-| B02 |-| B03 |-| B04| | |B01= Measure [[vitamin B12]], and [[folate]], and [[TSH]] |B02= Abnormal?|B03= Yes|B04= [[Vitamin deficiency]], [[hypothyroidism]]}}
{{familytree | | C01 | | C02 | C01= | C02= }}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
 
{{familytree | | | B01 | | | | | | | | B02 |-| B03 |-| B04 | | |B01= Fluctuating course, [[inattention]], [[disorganized thinking]],
{{familytree/end}}
or altered level of [[consciousness]]?|B02= Positive for SIGE CAPS questionary?|B03= Yes|B04= [[Depression]]}}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | | B01 | | | | | | | | B02 |-| B03 |-| B04 |-| B05 | | |B01= Yes|B02= No |B03= Severe [[disimpairment]] in [[social functioning]]? |B04= No |B05= [[Normal aging]]}}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | | B01 | | | | | | | | B02 | | |B01= [[Delirium]]|B02= [[Dementia]]}}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | | B01 | | | | | | | | B02 | | |B01= Take [[history]] and perform [[physical examination]]
|B02= Take [[history]] and perform [[physical examination]]}}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | | B01 |-| B02| || | |!| | | |B01= History of [[head trauma]]?
|B02= Yes}}  
{{familytree | | | |!| | | |!| | | | | |!| | | | }}
{{familytree | | |B01| | B02 | | | | |!| | | | B01= No|B02= [[Concussion]], [[post-concussive amnesia]]}}
{{familytree | | | |!| | | | | | | | | |!| | | | }}
{{familytree | | |B01| | | | | | | | |!| | | | B01= Measure [[urine toxicology]], [[CBC]], [[creatinine]], [[electrolites]], and
[[glucose]] to reveal cause|B02= [[Concussion]], [[post-concussive amnesia]]}}
{{familytree | | | | | | | | | | | | | |!| | | | }}
{{familytree | | | | | | | | | | | | | |!| | | | }}
{{familytree | | | | | |,|-|-|-|v|-|-|-|+|-|-|-|-|v|-|-|-|-|-|.| | }}
{{familytree | | | | | |!| | | |!| | | |!| | | | |!| | | | | |!| | }}
{{familytree | | | | |B01| |B02| |B03| | |B04| | | |B05| B01= Initial [[short term memory]] loss
| B02= [[Vascular]] risk factors, imaging evidence
of [[cerebrovascular]] involvement
| B03= Young age, [[behavioral]] symptoms
or language impairment
| B04= [[Bradikinesia]] or features of [[parkinsonism]],
fluctuating [[cognition]], [[visual
hallucinations]]
| B05= [[Dementia]] occuring 1 year after onset
of [[Parkinson disease]]
|| }}
{{familytree | | | | |!| | | | |!| | | |!| | | | |!| | | | | |!| | }}
{{familytree | | | | |B01| |B02| |B03| | |B04| | | |B05| | B01= [[Alzheimer disease]]
| B02= [[Vascular dementia]]
| B03= [[Frontotemporal dementia]]
| B04= [[Dementia with Lewy bodies]]
| B05= [[Parkinson's disease]]| }}
{{familytree/end}}<br />


==Treatment==
==Treatment==

Revision as of 21:47, 8 January 2021

Resident Survival Guide
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Synonyms and keywords:

Overview

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of amnesia according to the the American Academy of Neurology guidelines:[1]


 
 
 
 
 
 
 
Patient with amnesia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Acute onset
 
 
 
 
 
 
 
Chronic onset
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Measure vitamin B12, and folate, and TSH
 
Abnormal?
 
Yes
 
Vitamin deficiency, hypothyroidism
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Fluctuating course, inattention, disorganized thinking, or altered level of consciousness?
 
 
 
 
 
 
 
Positive for SIGE CAPS questionary?
 
Yes
 
Depression
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
 
 
 
 
 
 
 
No
 
Severe disimpairment in social functioning?
 
No
 
Normal aging
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Delirium
 
 
 
 
 
 
 
Dementia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take history and perform physical examination
 
 
 
 
 
 
 
Take history and perform physical examination
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
History of head trauma?
 
Yes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
No
 
Concussion, post-concussive amnesia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Measure urine toxicology, CBC, creatinine, electrolites, and glucose to reveal cause
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Initial short term memory loss
 
Vascular risk factors, imaging evidence of cerebrovascular involvement
 
Young age, behavioral symptoms or language impairment
 
 
Bradikinesia or features of parkinsonism,

fluctuating cognition, [[visual

hallucinations]]
 
 
 
Dementia occuring 1 year after onset of Parkinson disease
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Alzheimer disease
 
Vascular dementia
 
Frontotemporal dementia
 
 
Dementia with Lewy bodies
 
 
 
Parkinson's disease
 
 


Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. Jahn H (December 2013). "Memory loss in Alzheimer's disease". Dialogues Clin Neurosci. 15 (4): 445–54. PMC 3898682. PMID 24459411.


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