DEMENTIA TEACHING SESSION GPS ROYAL SURREY HOSPITAL NOV 2014 Dr Matt Hagger Consultant Old Age Liaison Psychiatry Ashford & St Peters hospitals.

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Presentation transcript:

DEMENTIA TEACHING SESSION GPS ROYAL SURREY HOSPITAL NOV 2014 Dr Matt Hagger Consultant Old Age Liaison Psychiatry Ashford & St Peters hospitals

Case 1 Woman mid 70s Progressively more confused; disorientated Previously well; nil PMH Fell some months ago; no cause found ? What could be cause ? What assessment/ Ix

Case 2 Man early 80s Slow progressive decline in STM Repetitive, disorientated Struggling with ADLs, care package increased Father had memory probs in 80s ? Diagnosis ? Ix and management

Case 3 Woman late 60s She is concerned re becoming forgetful over some months No other cognitive issues No problem with ADLs, managing money, driving ? Diagnosis ? management

Case 4 Man late 70s Family report gradual decline in memory over yrs More sudden recent change PMH of HTn, DM CT head atrophy/ SVD; no infarct ? Diagnosis & management

Case 5 Man late 60s Visual hallucinations but frequent UTIs with these as a consequence Concentration not as good eg newspaper Episodes of funny turns, falls Wife says she has to sleep separately as „as if he is fighting someone in his sleep“ ? Diagnosis ? Differential & management

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