Results for “parkinson disease”

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms whil…

Psychiatry · Pre-internship · middle twist

A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…

Psychiatry · Pre-internship · niche

A 74-year-old man is brought by his wife because for the past year he has described the small children who come into the lounge room most afternoons; he can say…

Psychiatry · Clinical rotations · middle twist

A 78-year-old man admitted a fortnight ago with a first psychotic illness had his risperidone increased from 1 mg to 3 mg daily seven days ago. Since then he ha…

Psychiatry · Pre-internship · middle twist

An 81-year-old man is three days from a hemiarthroplasty for a fractured neck of femur. Overnight he believes he is on a fishing boat and asks his wife about tw…

Acute Care · Pre-internship · middle twist

A 71-year-old woman attends the emergency department with 10 hours of vomiting that began after a family barbecue. She has Parkinson disease treated with levodo…

Acute Care · Clinical rotations · middle twist

A 78-year-old woman becomes agitated and repeatedly pulls at her intravenous line on the second night after hip surgery. She alternates between asking where she…

Geriatrics and Palliative Care · Clinical rotations · common

A 72-year-old man with Parkinson disease is brought by his wife because he has begun speaking to people who are not present and has become suspicious of her. He…

Psychiatry and Mental Health · Clinical rotations · middle twist

A 74-year-old man is referred for six months of recurrent falls. He reports that his feet sometimes seem stuck to the floor when he starts walking, and he takes…

Geriatrics and Palliative Care · Clinical rotations · common

A 72-year-old man with Parkinson disease has developed distressing visual experiences over the past month. His wife reports that he sets places at the table for…

Psychiatry and Mental Health · Clinical rotations · niche

A 76-year-old man with probable dementia with Lewy bodies has recurrent visual hallucinations that are frightening but not associated with aggression or immedia…

Geriatrics and Palliative Care · Clinical rotations · middle twist

An 87-year-old woman living independently develops confusion over 2 days after a chest infection. Her alertness varies during the day, and she cannot sustain at…

Geriatrics and Palliative Care · Clinical rotations · common