List of possible dementia clinical scenarios in USMLE - USMLE Forums
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USMLE Step 2 CK Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 2 CK questions.


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  #1  
Old 03-09-2011
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Neuro List of possible dementia clinical scenarios in USMLE

Overall these key points are so helpful to diagnose the type of dementia in USMLE Clinical Scenarios:

  • Dementia + sensory Ataxia + PNP(polyneuropathy) + UMN(babinski's sign) = B12 deficiency
  • Dementia + cerebellar ataxia + ophtalmoplegia = B1 def (Wernicke's syndrome)
  • Dementia + high cholesterol = hypothyroidism
  • Dementia + myoclonus = Creutzfeldt-Jakob disease
  • Dementia + gait apraxia + urinary incontinence = NPH (non-pressure hydrocephalus)
  • Dementia with stepwise progression + pseudobulbar palsy(PBP) = Binswanger's disease (vascular dementia)
  • Dementia + PBP + gaze abnormality + torticollis = PSP (progressive supranuclear palsy)
  • Dementia + chorea= Huntington's disease
  • Dementia + Parkinsonism + syncopal attack = Shy-Drager syndrome (multiple system atrophy)
  • Dementia that is fluctuating + Parkinsonism= Lewy body dementia
  • Dementia with sparing visuospatial skills + personality change = Frontotemporal dementia
Feel free to add to the list ...

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Old 03-09-2011
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This is awesome

Thank you very much
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Old 03-09-2011
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thanks a lot rozirose for the great post. I'l like to add just 1 more

* Dementia secondary to depression = Pseudo-dementia
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Old 03-09-2011
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And i forgot this classic one:

Dementia+ diarrhea+ Dermatitis= pellagra (B3-niacin deficiency)
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Old 06-10-2011
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Default dementia

Dementia +visual hallucinations+rem sleep disorder+capgras syndrome-Diffuse lewy body dementia.DD(delirium induced by L-dopa may be initial clue in diagnosis)
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Old 09-26-2011
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good work guys
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Old 10-20-2011
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This is the list of what you have mentioned:
  • Dementia + sensory Ataxia + PNP(polyneuropathy) + UMN(babinski's sign) = B12 deficiency
  • Dementia + cerebellar ataxia + ophtalmoplegia = B1 def (Wernicke's syndrome)
  • Dementia + high cholesterol = hypothyroidism
  • Dementia + myoclonus = Creutzfeldt-Jakob disease
  • Dementia + gait apraxia + urinary incontinence = NPH (non-pressure hydrocephalus)
  • Dementia with stepwise progression + pseudobulbar palsy(PBP) = Binswanger's disease (vascular dementia)
  • Dementia + PBP + gaze abnormality + torticollis = PSP (progressive supranuclear palsy)
  • Dementia + chorea= Huntington's disease
  • Dementia + Parkinsonism + syncopal attack = Shy-Drager syndrome (multiple system atrophy)
  • Dementia that is fluctuating + Parkinsonism= Lewy body dementia
  • Dementia with sparing visuospatial skills + personality change = Frontotemporal dementia
  • Dementia secondary to depression = Pseudo-dementia
  • Dementia+ diarrhea+ Dermatitis= pellagra (B3-niacin deficiency)
  • Dementia +visual hallucinations+rem sleep disorder+capgras syndrome-Diffuse lewy body dementia.DD(delirium induced by L-dopa may be initial clue in diagnosis)
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Old 04-20-2013
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adding one more

dementia + myoclonus_supranuclear ophthalmoplegia + diarrhea + malabsorption = Whipple's disease
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