The Curbsiders Internal Medicine Podcast #268 Dementia Made Simple with Dr. Josh Uy
19 snips
Apr 12, 2021 AI Snips
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Dinner Encounter That Changed A Diagnosis
- Josh recounts seeing a man with shuffling gait labeled Alzheimer's and recognized Parkinsonism instead.
- Asking whether motor symptoms predated cognitive decline revealed Lewy body rather than Alzheimer's.
Function, Not Score, Defines Dementia
- Distinguish MCI from dementia by whether cognition impairs function.
- The line is arbitrary and depends on the patient's baseline activities and goals.
Keep The Initial Workup Basic
- Start with basic labs (CBC, BMP, B12, TSH) and a broader geriatric assessment for cognitive decline.
- Reserve aggressive workups or specialist referral for atypical or rapidly progressive cases.