Alzheimers dementia

Contrast CT/MRI, Vit b12 , TSH levels!

may or may not get cb, bmp, lfts

screening for nueroshyphillis and HIV in high risk patients

• SLOW the Progression
• 1. Cholinesterase Inhibitors
• Donepezil, Rivastigmine, galantamine
• Dementia - your DONE! ME RIps GALAxy!

• 2. NMDA receptor anatgonist
• Memantine  - Can add on

3. Vit E! ( if heart disease do not add )

• 1. atypical antipyshotics
• OLANZAPINE  - if delusions

• for depression and DDRi ( fluoxentine )
• Anxitey add Buspirone