Understanding Organic Syndromes: Delirium, Subacute Amnestic Disorder, and Chronic Dementia

Explore the spectrum of organic syndromes including delirium, subacute amnestic disorder, and chronic dementia. Delve into the definitions, statistics, causes, management strategies, classifications, and reversible dementias associated with these conditions.

• Organic Syndromes
• Delirium
• Dementia
• Amnestic Disorder
• Medical Disorders

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Uploaded on Sep 23, 2024 | 0 Views

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1. Organic syndromes *acute; delirium *Subacute amnestic disordere *chronic;dementia *specific domains *specific medical disorders

2. Delirium Definition Statistics; 20% medical inpatients elderly, children C/F Acute, attention, disorientation, illusions and hallucinations, Course Fluctuations, worse at night

3. Delirium Causes 1-drugs 2-postoperative 3-infections 4-CNS; CVA, TIA, tumors, hematomas, epilepsy, trauma metabolic

4. Delirium Management cause nursing fluids medications ,haloparidol

5. Dementia Definition: Statistics 5% 65-70y 20% 80+y

6. Dementia C/F long history memory impairment apraxias and agnosias judgment and reasoning delusions and hallucinations disorientation emotional changes personality change

7. Dementia Classification degenerative,Alzheimer`s,Lewi body disease,picks disease,Huntington`s,Parkinsonism vascular infection;HIV,syphilis,Creutzfeldt-Jacob demylinating illness endocrine;hypothyroidism

8. Dementia Another classification presenile < 65ys; Alzheimer s, CFJ, Huntington`s, Pick s post senile

9. Dementia Statistics 50 % Alzheimer s 20 %Multi infarct 20 % Lewibody

10. Dementia Alzheimer s Plaques and tangles basal nuclei Mynert`s(acetylcholine) LewiBody Type: Lewi bodies, hallucinations, Parkinsonism Multi infarct:stepwise course Picks: frontal lobe CFJ: Prion bodies

11. Dementia Reversible dementias 1- subdural haematoma normal pressure hydrocephalus hypothyroidism syphilis pellagra Vit. B12

12. Dementia DDx Depressive pseudo dementia Hysterical pseudo dementia

13. Dementia Management Reality orientation Reminiscence training General Drugs: tetraaminohydrotacrinic acid, anticholine estrases