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What is dementia?
A deterioration and a progressive failure of many cerebral functions that includes impairment of intellectual processes with a decrease in orienting, memory, language, judgment, and decision making.
Alterations in behavior, for example, agitation, wandering, and aggression
Patho: Dementia
Includes neuron degeneration, compression of brain tissue, atherosclerosis of cerebral vessels, brain trauma, infection, and neuroinflammation
Genetic predisposition
Viruses: Human immunodeficiency virus (HIV) and slow-growing viruses associated with Creutzfeldt-Jakob disease, also lead to nerve cell degeneration and brain atrophy
Types of Dementia:
Alzheimerās disease
Creutzfeldt-Jakob disease
Dementia with Lewy body
Frontotemporal disorders/degeneration/dementia
Huntington disease
Vascular dementia
How does dementia present?
Slow onset
Irreversible
Dementia: Clinical Manifestations
Alzheimerās
Parkinsonās
Delirium vs. Dementia
Delirium:
Acute Onset
Reversible when cause is corrected
Dementia
Slow Onset
Irreversible