I need 3 possible diagnoses thats can be causing this symptoms, I already have a
ID: 86638 • Letter: I
Question
I need 3 possible diagnoses thats can be causing this symptoms, I already have alzheimer's disease and Dementia. I need one more and the reasons why it can be these possible diseases. Please follow the format thats been provided.
QUESTION 1 100 points Save Answer An 80-year old man presented with impairment of brain functions, alterations of mood and behavior. His family reported that he was having progressive disorientation and memory loss over the past 6 months. He had trouble handling money and paying bills. He repeated questions, took longer to complete normal da tasks, had poor judgement, and had developed mood and personality changes. He is a non-smoker, has no known chronic illness other than a mild hypertension that he did not take any medications for He is a retired post office worker He is a widower with no children. There was no family history of dementia, diabetics, hypertension or other diseases. Physical exam An elderly, not obese, male Respiratory rate: 16 breaths per minute (normal 12 20 x/minute) Blood pressure: 150/90 mmHg (normal: 120/80 mmHg) Heart rate: 96 beats per minute (normal 60-100 x/minute) Lung: clear to auscultation. Temperature: 37°C. (normal: 36.10-37.2Explanation / Answer
The differential diagnosis of the presenting symptoms are,
Alzhemer's disease: It is a chronic neuro degenerative disease. It is the most common cause of dementia. The symptoms include mood swings, disorientation, loss of memory, behavioral issues and disturbances in language. The patient in question has progressive disorientation and memory loss over 6 months duration. He also have mood and personality changes. All these points to possible Alzheimer's disease pathology.
Dementia: It refers to decline in ability of a person so that he is not able to perform his routine day to day activities. Dementia is a neuro cognitive disorder. here, the patient is not able to perform his normal routine activities and took longer time to complete his daily tasks. His cognitive abilities have also decreased. All these point towards possible presence of dementia in the patient.
Parkinsonism: Parkinson's disease cause neuro psyvhiatric disturbances. This include changes in mood, behavior, memory, thought and disorders of speech. Patient has loss of memory, trouble handling money and bills, poor judgement and personality changes. Thesse symptoms point towards having a possible parkinson's disease in the patient.
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