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Title of Lecture
Name of Lecturer/Presenters 01 Jan 2021 | S01.T01
A. General Formatting
VIII. References
DEMENTIA
● Marked by severe impairment in memory, judgment, orientation,
and cognition
IX. Appendix
● The subcategories are:
→ Alzheimer's type, which usually occurs in persons older than
INTRODUCTION 65 years of age and is manifested by progressive intellectual
disorientation and dementia, delusions, or depression
● Cognition includes the following:
→ Memory, Language, Orientation, Judgement, conducting → Vascular dementia, caused by vessel thrombosis or
hemorrhage (ex. after a stroke)
interpersonal relationships, Performing actions (praxis),
Problem solving → Human immunodeficiency virus (HIV) disease
● Cognitive disorders reflect disruption in one or more of these → Head trauma
domains and are frequently complicated by behavioral → Pick's disease or frontotemporal lobar degeneration
symptoms → Prion disease such as Creutzfeldt-Jakob disease, which is
● Cognitive disorders exemplify the complex interface among caused by a slow-growing transmittable virus
neurology, medicine, and psychiatry in that medical or AMNESTIC DISORDER
neurological conditions often lead to cognitive disorders that, in
● Major neurocognitive disorders caused by other medical
turn, are associated with behavioral symptoms
conditions
● It can be argued that of all psychiatric conditions, cognitive
● They are marked primarily by memory impairment in addition to
disorders best demonstrate how biological insults result in
other cognitive symptoms
behavioral symptomatology
● They may be caused by:
● The clinician must carefully assess the history and context of
the presentation of these disorders before arriving at a → Medical conditions (ex. hypoxia)
diagnosis and treatment plan → Toxins or medications (ex. marijuana, diazepam)
● The most common neuropathologic presentation associated → Unknown causes
with dementia reveal mixtures of Alzheimer's disease, vascular,
and Lewy body pathologies
NEUROPSYCHIATRIC MENTAL STATUS EXAMINATIONS
● Pure syndromes are relatively less common, although often the
dementia is ascribed to one of the coexisting pathologies