Dementia Home
Interactive Case Study
History of Presenting Complaint
Medication History
Social History
History Taking
Investigations
Blood screening
FBC
Vitamin B12
Kidney FT
U&E
LFT
Glucose
ESR
TFT
PSA
Lipids
Urinalysis
Results
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
mri pic
Patient Interview - Presentation
Current and Past History
Medications
letter from your GP
GP in Narembeen
forgotten any appointments
been to hospital before
illnesses or conditions
operations or procedures have you had
current state of health Dr Zheng
short of breath or feel dizzy
urinating or using your bowels
medications are you currently taking
noticed any side effects
vitamins, herbals remedies or over the counter drugs
have any allergies
Interview with Mrs Zheng
your husband has been more forgetful lately
How long has this been happening
Mrs Zheng, I would like to ask you some questions about your husband’s general state of health. Has he been admitted to hospital in the past?
Does he currently take any tablets for a medical condition?
Does he ever complain of any troubling symptoms, such as dizzy spells or difficulty in going to the toilet?
Features of Dementia
Physical Assessment
Cognitive Assessment
The Mini Mental State Examination
Clock Draw and GPCOG
Geriatric Depression Scale
IQCODE
FAB
Neuropsychological Assessments
Alzheimer’s Disease Assessment Scale
AMTS
RUDAS
Dr Zheng's Cognitive Assessment Results
MMSE Results
GDS Results
Image
Combining MMSE and GDS
Results
Diagnosis
Q1
Q2
differential diagnosis relating to dementia
Dementia Subtypes
play
Personal and Cultural Issues Regarding Diagnosis
Dr Zheng’s case
O1
O2
O3
Cultural Perspectives
Communicating a Diagnosis
Guidelines For Communicating a Diagnosis of Dementia
Communicating Dr Zheng's Diagnosis
Dx Option A
Dx Option B
Dx Option C
Dx Option D
Dx Option E
Care Plan
Genetic testing
Q1
Q2
Q3
Familial Alzheimer’s disease
Family Meeting
T1
T2
T3
T4
T5
T6
Social Work Assessment
Ax results
Supportive Care
Q
Support - Memory Centre
Support - Summary
Four years later.......
History of Presenting Complaint
Medical History
Medication History
Social History
Dr and Mrs Zheng
Q1
Q2
Q3
Interview - Mrs Zheng
Q1
Q2
Q3
Physical Assessment
Further investigation
Answer
Lab Investigations
Mrs Zheng's Concern
Blood Tests
Blood screening
FBC
U&E
ESR
Urinalysis
Cognitive Screening Test
Picture
ACAT Assessment
Ax results
Functional Ax
Behaviours of concern
CB1
CB2
CB3
Conclusion
Objectives
Post-module test
Pre-Module Test
Resources
Post-module test
Question One
The three most common forms of primary degenerative dementia are:
(1 points)
Alcohol-related dementia, Alzheimer's disease and Vascular dementia
Alzheimer's disease, Vascular dementia and frontotemporal dementia
Alzheimer's disease, Vascular dementia and Lewy body disease
Depression, Dementia and Delirium
Question Two
In its early stages, dementia is often recognized by:
(1 points)
an inability to recognize familiar faces or familiar objects
inappropriate behaviour
withdrawing from usual activities and interests
forgetfulness
Question Three
When a patient develops a sudden onset of confusion, disorientation and inability to sustain attention, this presentation is most consistent with the diagnosis of:
(1 points)
Alzheimer’s
Delirium
Major depression
Frontal Lobe dementia
Question Four
Which of the following condition(s) sometimes resembles Alzheimer’s disease?
(1 points)
Depression
Delirium
Vascular brain disease
All of the above
Question Five
Which of the following tests is
NOT
necessary as part of the initial evaluation of a patient with possible Alzheimer’s disease?
(1 points)
Thyroid function tests
Serum electrolytes
Vitamin B and folate levels
Protein electrophoresis
Question Six
Which of the following cognitive deficits is most likely to occur first during the progression of Alzheimer’s disease? (1 points)
Inability to recognize a family member
Disorientation to date
Inability to name common objects, such as a watch or a pen
Disorientation to place
Question Seven
Which of the following procedures is required to make a
definitive
diagnosis of Alzheimer’s disease?
(1 points)
MRI
Mini-Mental State Exam
Microscopic examination of CNS tissue
CAT scan