Search results for "Dementia"

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MKSAP Quiz: Evaluation for dementia

A 72-year-old man is evaluated for dementia with fluctuations in attentiveness, visual hallucinations, and slowness of movements over the past year. He has also acted out his dreams in his sleep a few times over the last 2 years. What is the most appropriate treatment?
26 Jul 2022

Dementia care poses ethical quagmires

Dementia presents unique ethical challenges for physicians because it is a “disease of autonomy.”
1 May 2020

Nondrug therapies outperformed drugs for depression symptoms in dementia, review finds

Massage and touch therapy, cognitive stimulation combined with a cholinesterase inhibitor, and cognitive stimulation combined with exercise and social interaction were more efficacious for symptoms of depression in people with dementia and without a diagnosis of a major depressive disorder.
30 Mar 2021

MKSAP Quiz: Evaluation for fatigue

A 42-year-old woman is evaluated for several months of fatigue. She reports a normal diet and no gastrointestinal symptoms. Medical history is notable for hypothyroidism and vitiligo. Following a physical exam and lab studies, what is the most appropriate initial diagnostic test?
1 Nov 2022

MKSAP Quiz: Follow-up evaluation of dementia

A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
8 Jun 2021

Bedside tests for a ‘slam-dunk’ delirium diagnosis

Tests for delirium involve a stepped approach of progressively more difficult questions in an attempt to provoke disorganized thinking.
1 Nov 2022

Menopausal hormone therapy not associated with increased dementia risk

The findings of this retrospective study in the United Kingdom should reassure women taking menopausal hormonal therapy but do not support its use to prevent dementia, a linked opinion piece said.
5 Oct 2021

Dementia care not just a prescription

A diagnosis of dementia brings up potential concerns that physicians can help patients and their caregivers explore in a neutral, nonjudgmental way.
1 May 2020

Reflections on caring for parents with dementia

In a recent column at KevinMD, Philip A. Masters, MD, FACP, described how dealing with cognitive decline in his own family led to greater appreciation of the sustained emotional impact of this condition, not only on patients but also on their loved ones and those who care for them.
27 Jul 2021

Commission of experts identifies nine modifiable risk factors for dementia

Hearing loss, among other risk factors, should be addressed in midlife to reduce the incidence of dementia.
25 Jul 2017

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