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PMHNP - NEUROCOGNITIVE disorders with 100% Verified Solutions | Updated & Verified | 2024
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PMHNP - NEUROCOGNITIVE disorders with 100% Verified Solutions | Updated & Verified | 2024
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PMHNP - NEUROCOGNITIVEdisorders with 100% Verified Solutions |
Updated & Verified | 2024
Cog-wheel rigidity - ✔✔Motor dysfunction secondary to a lesion of the basal ganglia in which the
muscles respond in a jerky motion when force is applied during flexion of a joint, common symptom
of Parkinson's disease
Cortical and Subcortical Dementia - ✔✔subcortical has slowed cognitive processes, depressed
mood, dysarthria, early gate disturbance, tremors, tics, distonia
MOVEMENT ABNORMALTIES
MOOD PROBLEMS
SLOW COGNITION
- In cortical dementia there is early aphasia, early difficulties in calculations, normal speed of cogntiive
processing until late, normal mood, and no extra motor issues like tics and dystonia
MORE LANGUAGE PROBLEMS THEN COGNITIVE LATER
NO MOOD OR MOVEMENT ISSUES
neurobiology of dementia - ✔✔cerebral atrophy
enlarged ventricles in Dopamine transporter areas (DAT)
decreased acetylcholine and norepi in DAT
Genetics:
Autosomal dominant
Statistics of dementia - ✔✔Not a normal part of aging
, Affects 15% of older Americans >85
~100 causes of dementia
>60% of patients with dementia have Alzheimer's disease (AD).
Half of the patients in most long-term care facilities have dementia.
1.6% in pts >65 yo
Duration of illness - 8 to 10 yrs
Scales for dementia - ✔✔MMSE
MoCA
Mini-Cog
SLUMS
BIMS
Dementia Rating scale
CASI
short portable Menta status Q
BCRS
AZ disease Assessment scale
physical exam in dementia - ✔✔Amaurosis fugax
unilateral motor weakness
asymmetrical reflexes
apraxia
aphasia
agnosia
later: mutism or echolalia
Amaurosis fugax - ✔✔loss vision described as curtain going down and then up
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