| What clinical profile is considered typical for diagnosing probable Alzheimer's disease? | Typical clinical profile (age, progression, no focal signs) | Cognitive decline in more than one domain No No dementia Suspected dementia Delirium or Depression? Functional decline Yes No Yes Treat Yes No Follow up and Re-evaluation Yes Dementia Typical clinical profile (age, progression, no focal signs) Yes Probable AD ASHA PHC CHC DH VD/ mixed dementia Lab investigation TSH, vit. B12 No Other causes Medical college Tertiary level centre Standard Treatment Workflow (STW) for the Management of DEMENTIA ICD 10 - F02,F03,G30 CLINICAL FEATURES OF | 184 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | Cognitive decline in more than one domain No No dementia Suspected dementia Delirium or Depression? Functional decline Yes No Yes Treat Yes No Follow up and Re-evaluation Yes Dementia Typical clinical profile (age, progression, no focal signs) Yes Probable AD ASHA PHC CHC DH VD/ mixed dementia Lab investigation TSH, vit. | 1 | page=1,block=0 | 0.700 | valid |
| What is a key characteristic of dementia in terms of clinical features? | a change from baseline normal functioning in a middle aged to old person | • Fever • Rapid progression • Seizures • Recent head injury • Alcoholism and falls IMPORTANT POINTS TO CONSIDER • Dementia is a complex and variable condition • No single test will definitively diagnose dementia • The clinical features if present, should be a change from baseline normal functioning in a middle aged to old person • Assessment should aim at gathering information about changed behaviours, functional capacity, psychosocial support and medical comorbidities • History should be taken from a close caregiver, staying with the patient for a longer duration than the appearance of symptoms Forgetting learned activities | 258 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | • Fever • Rapid progression • Seizures • Recent head injury • Alcoholism and falls IMPORTANT POINTS TO CONSIDER • Dementia is a complex and variable condition • No single test will definitively diagnose dementia • The clinical features if present, should be a change from baseline normal functioning in a middle aged to old person • Assessment should aim at gathering information about changed behaviours, functional capacity, psychosocial support and medical comorbidities • History should be taken from a close caregiver, staying with the patient for a longer duration than the appearance of |
| What should be the focus of assessment when diagnosing dementia? | gathering information about changed behaviours, functional capacity, psychosocial support and medical comorbidities | • Fever • Rapid progression • Seizures • Recent head injury • Alcoholism and falls IMPORTANT POINTS TO CONSIDER • Dementia is a complex and variable condition • No single test will definitively diagnose dementia • The clinical features if present, should be a change from baseline normal functioning in a middle aged to old person • Assessment should aim at gathering information about changed behaviours, functional capacity, psychosocial support and medical comorbidities • History should be taken from a close caregiver, staying with the patient for a longer duration than the appearance of symptoms Forgetting learned activities | 358 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | • Fever • Rapid progression • Seizures • Recent head injury • Alcoholism and falls IMPORTANT POINTS TO CONSIDER • Dementia is a complex and variable condition • No single test will definitively diagnose dementia • The clinical features if present, should be a change from baseline normal functioning in a middle aged to old person • Assessment should aim at gathering information about changed behaviours, functional capacity, psychosocial support and medical comorbidities • History should be taken from a close caregiver, staying with the patient for a longer duration than the appearance of |
| What are some personality-related changes associated with dementia? | Personality change | Impaired memory Apathy Agression Depression Mood fluctuations Personality change Sleep disturbances Hallucinations Incontinence FOLLOW UP OF DIAGNOSED & TREATED PATIENTS INTERVENTION MATRIX FOR DEMENTIA ACROSS PLATFORMS OF CARE | 62 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | Impaired memory Apathy Agression Depression Mood fluctuations Personality change Sleep disturbances Hallucinations Incontinence FOLLOW UP OF DIAGNOSED & TREATED PATIENTS INTERVENTION MATRIX FOR DEMENTIA ACROSS PLATFORMS OF CARE | 1 | page=1,block=26 | 0.700 | valid |
| What laboratory investigations are suggested for suspected dementia? | TSH, vit. B12 | Cognitive decline in more than one domain No No dementia Suspected dementia Delirium or Depression? Functional decline Yes No Yes Treat Yes No Follow up and Re-evaluation Yes Dementia Typical clinical profile (age, progression, no focal signs) Yes Probable AD ASHA PHC CHC DH VD/ mixed dementia Lab investigation TSH, vit. B12 No Other causes Medical college Tertiary level centre Standard Treatment Workflow (STW) for the Management of DEMENTIA ICD 10 - F02,F03,G30 CLINICAL FEATURES OF | 313 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | Cognitive decline in more than one domain No No dementia Suspected dementia Delirium or Depression? Functional decline Yes No Yes Treat Yes No Follow up and Re-evaluation Yes Dementia Typical clinical profile (age, progression, no focal signs) Yes Probable AD ASHA PHC CHC DH VD/ mixed dementia Lab investigation TSH, vit. B12 No Other causes Medical college Tertiary level centre Standard Treatment Workflow (STW) for the Management of DEMENTIA ICD 10 - F02,F03,G30 CLINICAL FEATURES OF | 1 | page=1,block=0 | 0.700 |
| What are some mood-related symptoms of dementia? | Depression Mood fluctuations | Impaired memory Apathy Agression Depression Mood fluctuations Personality change Sleep disturbances Hallucinations Incontinence FOLLOW UP OF DIAGNOSED & TREATED PATIENTS INTERVENTION MATRIX FOR DEMENTIA ACROSS PLATFORMS OF CARE | 33 | list | 0.700 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | Impaired memory Apathy Agression Depression Mood fluctuations Personality change Sleep disturbances Hallucinations Incontinence FOLLOW UP OF DIAGNOSED & TREATED PATIENTS INTERVENTION MATRIX FOR DEMENTIA ACROSS PLATFORMS OF CARE | 1 | page=1,block=26 | 0.700 | valid |
| What is the initial dosage of Donepezil for dementia treatment? | 5 mg once after breakfast x 1 month | • Donepezil: 5 mg once after breakfast x 1 month, then 10 mg after breakfast to continue If any side effect/ not tolerating: Rivastigmine to be used start dose 1.5 mg BD / 1 month then 3 mg BD x 1 month, then 4.5 mg BD x 1 month, then 6 mg twice after meals only x 1 month. • Memantine: in moderate to severe dementia 5 mg BD x 1 month, then 10 mg BD to continue. • Galantamine: 8 mg BD if not tolerating 1 | 13 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | • Donepezil: 5 mg once after breakfast x 1 month, then 10 mg after breakfast to continue If any side effect/ not tolerating: Rivastigmine to be used start dose 1.5 mg BD / 1 month then 3 mg BD x 1 month, then 4.5 mg BD x 1 month, then 6 mg twice after meals only x 1 month. | 1 | page=1,block=41 | 0.700 | valid |
| What is the ICD-10 coding for dementia? | ICD 10 - F02,F03,G30 | Cognitive decline in more than one domain No No dementia Suspected dementia Delirium or Depression? Functional decline Yes No Yes Treat Yes No Follow up and Re-evaluation Yes Dementia Typical clinical profile (age, progression, no focal signs) Yes Probable AD ASHA PHC CHC DH VD/ mixed dementia Lab investigation TSH, vit. B12 No Other causes Medical college Tertiary level centre Standard Treatment Workflow (STW) for the Management of DEMENTIA ICD 10 - F02,F03,G30 CLINICAL FEATURES OF | 446 | factual | 0.450 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725952345_neurology_dementia.pdf | B12 No Other causes Medical college Tertiary level centre Standard Treatment Workflow (STW) for the Management of DEMENTIA ICD 10 - F02,F03,G30 CLINICAL FEATURES OF | 1 | page=1,block=0 | 0.700 | valid |