Good tips~ Yvonne

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31. Alzheimer's Disease
50%
Other Causes Mixed Alzheimer's/ Vascular Disease
10% 10%
Vascular Disease
10%
Dementia with Lewy Bodies
20%
After Perry et al. 1989, 1990
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36.  徵狀
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歷 狀
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41. • 歷
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• 哪
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42. 懂 懂
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43. * *
* 狀 * X
*?
• B12
•
• •
•
* • CT Brain)
* • MRI )
• PET
• SPECT
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45. 徵狀
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46.  狀



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47. 酶
酶
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48. •
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49.  cholinesterase
acetylcholine
 acetylcholine



 Rivastigmine / Galantamine / Donepezil
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52. 
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53.   +
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 
 
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  +
  + +
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55. (Nootropics)


– SERMION 5mg –10mg BD to 30mg OM
– Gingko Biloba
– Piracetam
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56. / E


 1000 iu BD (400iu – 800iu BD)
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57. Memantine
 NMDA N-methyl-D-aspartate receptor
glutamate
 Memantine NMDA

 ?

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58. 


 Dementia Care Mapping
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60. •
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癥
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61. 拖
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62. 尬
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63. 懂
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66. Q2
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
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67. Q3
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
–
– E
–
– ? NSAID ( )

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–
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–
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68. 嗎
–
–
–
 =

–
 :


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69. Q5 ?


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70. Q5 ?
 =
– > 65
– < 1%
– 1, 14 + 21
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71. 嗎
PS1, PS2 Presenilin (Chr 1,14)
APP Amyloid Precursor Gene (21)
www.doctorwong.net 黃 APOE : Chromosome 19
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72.  1/3  =
(Javick)
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–
–
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2 
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