Lesson 1Cognitive testing tools and bedside examination elements: MMSE, MoCA, executive function and visuospatial testingReviews bed tests for brain power, like quick memory scores, attention checks, speech, recall, planning, space skills, with read tips, limits, and tweaks for schooling and background.
MMSE structure, scoring, and limitationsMoCA domains, cutoffs, and adjustmentsBedside executive function assessmentsVisuospatial and constructional testingInterpreting results in clinical contextLesson 2Common complications and monitoring: delirium superimposed on dementia, falls, medication interactions and prevention/surveillance tacticsHandles usual dementia issues like sudden confusion, tumbles, drug clashes, stressing risk spot, watch plans, drug cuts, home changes, and team stops.
Recognizing delirium in dementiaFall risk factors and prevention plansHigh-risk medications and interactionsMonitoring cognitive and functional changeCare pathways for recurrent complicationsLesson 3Management principles in early hospitalization: safety assessment, medication review (deliriogenic drugs), risk of delirium and prevention strategiesFocuses first hospital care for dementia folks, on safety check, drug list fix, confusion-causing drugs, risk sort, stop packs, and family talks.
Initial safety and supervision assessmentMedication review and deprescribingDelirium risk factors and screeningNonpharmacologic prevention bundlesFamily engagement and discharge planningLesson 4Advanced biomarkers and their clinical role: CSF amyloid/tau, plasma biomarkers (neurofilament light, plasma p-tau) and indicationsReviews fancy body markers like spine fluid plaques and tangles, blood p-tau, nerve threads, on when to use, read, limits, and diagnosis, outlook, trial fits.
CSF amyloid and tau collection basicsPlasma p-tau assays and cutoffsNeurofilament light as injury markerClinical indications for biomarker testingLimitations, access, and ethical issuesLesson 5Baseline laboratory and structural imaging to exclude reversible causes: thyroid, B12, RPR, CBC, CMP, and brain MRI protocol for dementiaSets basic bloods and scans to rule out fixable memory loss causes, like thyroid glitch, B12 lack, syphilis test, full count, body salts, and dementia brain scan setup.
Standard laboratory dementia panelScreening for infectious contributorsMetabolic and nutritional abnormalitiesBrain MRI sequences for dementiaWhen CT is acceptable or insufficientLesson 6Common neurodegenerative etiologies and key distinguishing features: Alzheimer disease, vascular cognitive impairment, frontotemporal dementia, Lewy body dementiaDetails usual brain wear causes of dementia, like plaque buildup, vessel damage, front brain loss, body inclusion type, stressing signs, scan looks, bed hints.
Alzheimer disease: memory-led presentationVascular cognitive impairment patternsFrontotemporal dementia behavioral variantsLewy body dementia core clinical featuresImaging clues to differentiate etiologiesLesson 7Recognizing and managing neuropsychiatric symptoms: agitation, psychosis, apathy — safe acute strategies and antipsychotic risksCovers spotting and handling restlessness, false beliefs, no interest, mood in dementia, stressing place and act steps, drug pros-cons, side watch, family teach.
Clinical features of agitation and aggressionAssessment of psychosis and hallucinationsApproaches to apathy and mood symptomsNonpharmacologic de-escalation strategiesAntipsychotic indications and safety risksLesson 8Pharmacologic symptomatic treatments and when to initiate cholinesterase inhibitors or memantine; nonpharmacologic interventions and caregiver supportLooks at drug and no-drug dementia aids, when to start brain chemical boosters or memantine, side fixes, mind rehab, home tweaks, family backing.
Indications for cholinesterase inhibitorsMemantine use and combination therapyManaging treatment side effectsEvidence-based nonpharmacologic strategiesCaregiver education and respite resourcesLesson 9Diagnostic framework for dementia: cognitive domains, functional impairment, and course of declineGives step-by-step dementia diagnosis frame, stressing brain areas, daily task loss, drop speed to sort wear, vessel, fixable, and guide tests and talks.
Core cognitive domains and typical deficitsFunctional decline and loss of independenceOnset, tempo, and progression patternsDistinguishing dementia from normal agingRed flags for nondegenerative etiologiesLesson 10Key guideline and review sources for dementia evaluation and management (with year identifiers)Sums big dementia guides and agreements, key tips, years, practice use, diagnosis rules, marker use, treatment starts, follow plans.
Major international dementia guidelinesKey diagnostic criteria and updatesGuidance on biomarker use and limitsTreatment and follow-up recommendationsUsing reviews to stay current