determine
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A previously healthy, 68-year-old woman develops auditory hallucinations. She cannot provide many details but believes her mother is speaking to her. She has difficulty cooperating during the interview and physical examination, which is unremarkable. Which one of the following is the most likely diagnosis? <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
1) complex partial seizures
2) Alzheimer's disease
3) adverse medication effect
4) hyperthyroidism
5) peduncular hallucinosis
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| Rasul
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I think, 1.Peduncular hallucinosis=visual hallucinations.Alzheimers dis-possible, but they would have mentioned cognitive impairment.Adverse med effect-possible, except we assume she's healthy and not on meds.Hyperthyroidism-with hallucinations?Complex partial seizure-remains.
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| yasmeen
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A?
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| AAAAA
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previous healthy= no medication (code word)=no medication side-effects
hyperthyrodism= weight loss, tachycardia, atypical presentation in elderly, no seizure
Alzheimer's=slow progressive, cognitive impairment
complex partial seizure ?
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| achilles
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a ?
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| determine
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I asked to one of my psychiatrist friend, she says it should be peduncular hallucinosis.
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| determine
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However, in peduncular hallucinosis, there are usually visual hal!!??
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| Rasul
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According to what I know, usually visual
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| AAAAA
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I checked that out. Both auditory and visual hallucination can be associated with peduncular hallucinosis and I thank everyone to check that out !
I google everything and they came up with visual and then I type in auditory and said both visual and auditory can be associated. Thanks "determine"
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| AAAAA
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Is A or E the answer ? Which one
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| Rasul
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I checked- it says-auditory halluciantions "also have been reported"...
I'd say, it's auditory aura, then seizures (which are easy to miss if You're not there-may be she's just staring on smth for couple of minutes, and then it's gone), then she's got the postictal slight confusion(that's why she has trouble cooperating).
But I cannot be sure. What do you, guys, think?
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| AAAAA
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The ANSWER IS A. Yes A
Partial seizure=electical stimuli involved only part of the brain
Complex partial seizure= involved unconsicousness
Symptoms can involve movement, loss of consciousness, visual and auditory hallucination
Thanks
I checked out very clearly
The answer is COMPLEX PARTIAL SEIZURE.
Do you guys like me (I get tired every couple hours 3-4 hours intensive study and have to sleep for 10-15 minutes. But now I drink some coffee. I hope I am not getting complex partial seizure--passing out, auditory hallicatination. LOL !!
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| achilles
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rasul, i think you are right...what yu say just makes more sense ...it should be complex partial seizures...thanks.
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