Search results for "Dementia"
Long-term PPI use associated with higher incidence of dementia
While patients who took proton-pump inhibitors (PPIs) from mid- to late life had a modestly higher risk of dementia in late life versus nonusers, shorter-term use was not associated with increased risk.
https://acpinternist.org/weekly/archives/2023/08/15/2.htm
15 Aug 2023
Dementia care not just a prescription
A diagnosis of dementia brings up potential concerns that physicians can help patients and their caregivers explore in a neutral, nonjudgmental way.
https://acpinternist.org/archives/2020/05/dementia-care-not-just-a-prescription.htm
1 May 2020
Dementia diagnosis associated with increased medication use
A cohort study of Medicare beneficiaries found that patients' mean number of medications increased after an incident diagnosis of dementia, as did the proportion using central nervous system-active medications, highlighting opportunities to deprescribe.
https://acpinternist.org/weekly/archives/2023/08/29/4.htm
29 Aug 2023
Exercise intervention not effective in early dementia
A randomized trial in the U.K. found that outcomes did not differ in patients with early dementia or cognitive impairment assigned to a dementia-specific rehab program compared to those who received usual care.
https://acpinternist.org/weekly/archives/2023/09/05/4.htm
5 Sep 2023
Dementia care poses ethical quagmires
Dementia presents unique ethical challenges for physicians because it is a “disease of autonomy.”
https://acpinternist.org/archives/2020/05/dementia-care-poses-ethical-quagmires.htm
1 May 2020
Hear, hear for preventing cognitive decline
Because of the association between hearing loss and reduced cognition or dementia, physicians should intervene to treat this common condition of aging.
https://acpinternist.org/archives/2023/04/hear-hear-for-preventing-cognitive-decline.htm
1 Apr 2023
MKSAP Quiz: Evaluation for dementia
A 72-year-old man is evaluated for dementia with fluctuations in attentiveness, visual hallucinations, and slowness of movements over the past year. He has also acted out his dreams in his sleep a few times over the last 2 years. What is the most appropriate treatment?
https://acpinternist.org/weekly/archives/2022/07/26/3.htm
26 Jul 2022
Menopausal hormone therapy not associated with increased dementia risk
The findings of this retrospective study in the United Kingdom should reassure women taking menopausal hormonal therapy but do not support its use to prevent dementia, a linked opinion piece said.
https://acpinternist.org/weekly/archives/2021/10/05/5.htm
5 Oct 2021
MKSAP Quiz: 3-year history of erythema, flaking
A 78-year-old man is evaluated for a 3-year history of erythema and flaking on the scalp and face. Following a physical exam, what is the most appropriate treatment?
https://acpinternist.org/archives/2023/09/mksap-quiz-3-year-history-of-erythema-flaking.htm
1 Sep 2023
MKSAP Quiz: Follow-up evaluation of dementia
A 53-year-old woman is brought to the office by her husband for follow-up evaluation of behavioral-variant frontotemporal dementia, which was diagnosed 9 months ago. Her clinical symptoms of occasional aphasia, minor memory impairment, behavioral disinhibition, and obsessive-compulsive behaviors have worsened since diagnosis and have become disruptive. Her husband asks about possible medications to control her symptoms. What is the most appropriate medication to recommend?
https://acpinternist.org/weekly/archives/2021/06/08/3.htm
8 Jun 2021