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

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Organic syndromes
*acute; delirium
*Subacute  amnestic
disordere
*chronic;dementia
*specific domains
*specific medical disorders
 
Delirium
 
Definition
Statistics
; 20% medical
inpatients elderly, children
C/F
 
Acute, attention, disorientation,
illusions and hallucinations,
Course
Fluctuations, worse at night
 
Delirium
 
Causes
1-drugs
2-postoperative
3-infections
4-CNS; CVA, TIA, tumors, hematomas,
epilepsy, trauma
metabolic
 
Delirium
 
Management
cause
nursing
fluids
medications ,haloparidol
 
Dementia
 
Definition:
Statistics 5
% 65-70y   20% 80+y
 
Dementia
 
C/
F
long history
 memory impairment
apraxias and agnosias
judgment and reasoning
delusions and hallucinations
disorientation
 emotional changes
personality change
 
Dementia
 
Classification
degenerative,Alzheimer`s,Lewi body
disease,picks
disease,Huntington`s,Parkinsonism
vascular
infection;HIV,syphilis,Creutzfeldt-Jacob
demylinating illness
endocrine;hypothyroidism
 
Dementia
 
Another classification
presenile
< 65ys; Alzheimer’s, CFJ,
Huntington`s, Pick’s
post senile
 
Dementia
 
Statistics
50 % Alzheimer’s
20 %Multi infarct
20 % Lewi body
 
Dementia
 
Alzheimer’s
Plaques and tangles basal nuclei
Mynert`s(acetylcholine)
Lewi Body Type:
 Lewi bodies, hallucinations,
Parkinsonism
Multi infarct:
 stepwise course
Picks: 
frontal lobe
CFJ
: Prion bodies
 
Dementia
 
Reversible dementias
1- subdural haematoma
normal pressure hydrocephalus
hypothyroidism
syphilis
pellagra
Vit. B12
 
Dementia
 
DDx
Depressive pseudo dementia
Hysterical pseudo dementia
 
Dementia
 
Management
Reality orientation
Reminiscence training
General
Drugs: tetraaminohydrotacrinic acid,
anticholine estrases
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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

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

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