doc-o8 wrote:
the answer to third q is catotonic schizophrenia.(delusions,late onset,abnormal movements)
she has delusions that are not typical of huntingtons.
I disagree.
Vermicular movements of the tongue and writhing movements of the extremities... even if NO fam. Hx is known, this soudnd like chorea and thus a dx of Huntingtons...
Catatonic Schizo has either INCREASED or DECREASED movements, but NOT chorea.
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| doc-o8
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Thanks DrVirgo,
i read that again. u r right. it sounds like huntingtons.she has chorea and besides age of onset and insidous onset. this fits.
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| ladyluck
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hey friends
i think
1 malingnering
2 alzeihmers he has been treated in the past possibly donezepil but since he lives alone he does not take his medication so sympoms have been back ,also most common cause of dementia is alzheimers
3 huntingtons
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| DrVirgo
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ladyluck wrote:
hey friends
i think
2 alzeihmers he has been treated in the past possibly donezepil but since he lives alone he does not take his medication so sympoms have been back ,also most common cause of dementia is alzheimers
How can we rule out depression?
5 or more of SIGECAPS is necessary to dx. MDD.
She has 1. sleep prob, 2. energy deficit, 3, weight loss, 4. psychomotor retardation, 5. concentration/memory problems..
So is this enough to Dx. Depression here?
Plus the question said that she has similar "EPISODES" in the past... Alzheimers doesn't occur in episodes but rather has a slow and gradual decline in function. Treatment for Alzheimers can only slow the loss of function, it can't make the patient recover completely or reverse the damage.
Depression can occur in episodes which get better when treated, and worse when the patient is off their meds.
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