The Curbsiders Internal Medicine Podcast #268 Dementia Made Simple with Dr. Josh Uy
19 snips
Apr 12, 2021 AI Snips
Chapters
Transcript
Episode notes
Run A Triad Visit
- Use a "triad visit": speak to patient and family separately and set ground rules for interruptions.
- Validate both perspectives and avoid taking sides to gather an accurate history.
Use Speed To Narrow Subtypes
- Observe movement and speech speed to subtype dementia quickly at the bedside.
- Faster speech suggests Alzheimer's or FTD; slower movement suggests vascular, Parkinson's, or Lewy body disease.
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.