The Curbsiders Internal Medicine Podcast

#478 Dementia 2.0 with Anna Chodos

140 snips

Apr 7, 2025

In this lively discussion, Dr. Anna Chodos, a geriatrics expert from UCSF, dives into the complexities of dementia care. She highlights the latest diagnostic criteria and treatment options, including new antibody therapies. Dr. Chodos stresses the importance of early detection and comprehensive evaluations, explaining how to differentiate cognitive disorders. She also shares practical resources for both patients and caregivers, emphasizing a holistic approach to brain health and cognitive decline management. This insightful talk is a must-listen for anyone interested in geriatric medicine!

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ADVICE

Mini-Cog Screening

Use the Mini-Cog for initial dementia screening, as it's quick and adaptable.
If the Mini-Cog is abnormal, follow up with a more thorough assessment, but avoid over-explaining in the initial visit.

INSIGHT

Dementia Evaluation Framework

Dementia evaluation focuses on cognitive and functional decline, aligning with DSM-5 criteria.
Gather a thorough cognitive history, functional history (ADLs and IADLs), and conduct a medical workup.

ADVICE

Cognitive History Pointers

Assess all six cognitive domains: memory, language, executive function, behavior (social cognition), visuospatial skills, and motor skills.
Ask targeted questions about each domain to gauge difficulties.

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Updates in classification, evaluation, and treatment

Become dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibody therapies, and brain health plans!

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Show Segments

Intro
Rapid fire questions
The Terminology of Neurocognitive Disorders
Cognitive Domains: A Comprehensive Approach
Physical Examination Insights
Medical Workup for Dementia
Imaging and Biomarkers in Dementia Diagnosis
Referral Considerations for Dementia Patients
Understanding Dementia Stages and Prognosis
Implementing Brain Health Plans
Medications for Dementia Management
Controversies in Monoclonal Antibody Therapies
The Importance of Early Detection and Planning
Outro

Credits

Producers, Writers and Show Notes: Leah Witt, MD and Margaret Heller, MD
Infographic and Cover Art: Leah Witt, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Anna Chodos, MD

Disclosures

Dr. Chodos received remuneration from Novo Nordisk for participating in a task force looking at the feasibility of incorporating biomarkers for Alzheimer's disease into primary care. The financial relationship has ended. The Curbsiders report no relevant financial disclosures.

The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

Sponsor: Locumstory

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Sponsor: Grammarly

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Sponsor: Continuing Education Company

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