Secondo episodio di aggiornamento clinico-scientifico in Medicina Interna e dintorni...

Temi trattati:

- parkinsonismi atipici

- basse dosi di DOAC (apixaban e rivaroxaban) nella prevenzione delle recidive di tromboembolismo venoso nei soggetti ad elevato rischio

- delirium post-operatorio

Keywords: neurodegenerative disorders, atypical Parkinsonism, DOAC, venous thromboembolism, post-operative delirium, prevention strategies, clinical guidelines, patient care.

Summary: In this episode of "Internisticamente", Dr. Stefano Mancini discusses three critical topics in clinical practice: atypical neurodegenerative disorders, the use of low-dose DOACs for venous thromboembolism, and strategies for preventing post-operative delirium. The conversation emphasizes the importance of accurate diagnosis, effective treatment protocols, and preventive measures in enhancing patient care.

Takeaways:

• Atypical neurodegenerative disorders require careful diagnosis.
• Anamnesis and imaging are crucial for identifying atypical disorders.
• Low doses of DOACs can be effective and safer for patients.
• Risk stratification is essential for preventing post-operative delirium.
• Cognitive decline in Parkinson's tends to appear later in the disease.
• Patients with atypical disorders may show early postural instability.
• Low-dose DOACs have shown promising results in recent studies.
• Preventing delirium is more effective than treating it post-operatively.
• Immediate assistance helps patients regain autonomy after surgery.
• Environmental interaction is vital for patient recovery.

• Navigating Atypical Neurodegenerative Disorders
• The Efficacy of Low-Dose DOACs

• "A careful anamnesis is crucial for diagnosis."
• "Imaging plays a key role in diagnosis."
• "Low doses of DOACs show promising results."