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The Curbsiders Internal Medicine Podcast

#33: The Dementia Episode You Won’t Forget

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.83.1K Ratings

🗓️ 3 April 2017

⏱️ 60 minutes

🧾️ Download transcript

Summary

Dominate the diagnosis and management of dementia with tips from international expert Dr. Stephen Dekosky, Professor of Neurology, and deputy director of the McKnight Brain Institute at the University of Florida. Filled with clinical pearls, we cover everything from basic testing to advanced imaging modalities, as well as current and future therapies for dementia. This episode is a must listen. Big thanks to the American Academy of Neurology for setting up this interview.

Full show notes are available at http://thecurbsiders.com/podcast

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Time Stamps

00:00 Intro

02:20 Rapid fire questions

04:40 Defining dementia

08:40 Choosing a clinical test for dementia

17:20 Diagnostic labs

19:00 Genetic and CSF testing

25:46 Advanced brain imaging

28:18 Preclinical Alzheimer’s disease (AD)

32:17 Routine CNS imaging

36:18 Initiating medical therapy

39:35 Differentiating MCI and dementia

41:45 Vascular Dementia

44:10 CSF testing for AD

45:15 Vitamins, supplements, and foods as treatment or prevention

50:56 Mental exercise for AD prevention

52:36 Anticholinergic, benzos and dementia

54:46 Future directions

57:55 Outro

Tags: Alzheimers, assistant, care, education, dementia, disease, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, neurology, nurse, medicine, medical, mri, pet, primary, physician, resident, student, vascular

Transcript

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0:00.0

You look just like Tom Selec, right?

0:03.0

Tom Selec looks like me.

0:18.0

Welcome back to the Curbscider.

0:20.0

Hey Matthew.

0:21.0

Hey Stuart.

0:23.0

The Internal Medicine podcast that uses expert interviews

0:27.0

to bring you clinical pearls and practice changing knowledge.

0:30.0

We're brain hole.

0:31.0

I'm Dr. Matthew Wato.

0:33.0

Here with my co-host, Dr. Stuart Brigham.

0:36.0

Hello.

0:38.0

Paul is once again hurting cats.

0:41.0

No.

0:42.0

No.

0:43.0

Clouder of cats.

0:44.0

His clouter of cats.

0:45.0

There's not a herd of cats.

0:46.0

Well, he's hurting a clouter of cats.

0:48.0

Maybe this is hurting cats.

0:50.0

Our guest on this episode is Dr. Stephen Dekoski.

0:54.0

Dr. Dekoski is the deputy director of the McKnight Brain Institute at the University of Florida.

1:00.0

He is also a member of the American Academy of Neurology who helped set up this interview.

...

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