Template:Dementia DDX
Revision as of 19:01, 8 June 2015 by Rossdonaldson1 (talk | contribs) (Created page with "===Dementia=== *Degenerative **Alzheimer's disease **Huntington's disease **Parkinson's disease *Vascular **Multiple infarcts **Hypoperfusion (MI, profound hy...")
Dementia
- Degenerative
- Alzheimer's disease
- Huntington's disease
- Parkinson's disease
- Vascular
- Multiple infarcts
- Hypoperfusion (MI, profound hypotension)
- Subdural hematoma
- SAH
- Infectious
- Meningitis (sequelae of bacterial, fungal, or tubercular)
- Neurosyphilis
- Viral encephalitis (herpes, HIV), Creutzfeldt-Jakob disease
- Inflammatory
- SLE
- Demyelinating disease
- Neoplastic
- Primary tumors / metastatic disease
- Carcinomatous meningitis
- Paraneoplastic syndromes
- Traumatic
- Toxic
- ETOH
- Meds (anticholinergics, polypharmacy)
- Meds considered "never appropriate" in advanced dementia include, but still commonly used[1]:
- Most common: Cholinesterase inhibitors, memantine hydrochloride, lipid lower agents, antiplatelet (except aspirin)
- Others: hormone antagonists, leukotriene inhibitors, cytotoxic chemotherapy, immunomodulators
- Metabolic
- B12 or folate deficiency
- Thyroid Disease
- Uremia
- Psychiatric
- Depression (pseudodementia)
- Hydrocephalic
- Normal-pressure hydrocephalus (communicating hydrocephalus)
- Noncommunicating hydrocephalus
- ↑ Tjia J et Al. Use of Medications of Questionable Benefit in Advanced Dementia. JAMA Intern Med. Published online September 08, 2014. doi:10.1001/jamainternmed.2014.4103