Case Study Neurology Psychology - 778 Words

CASE STUDY 1 QUESTIONS- Neurology 1. What additional subjective or objective information do you need to assist you in making a diagnosis? The subjective information provided is enough to make a diagnosis from the family of the 79 y/o male who stares into space, fallen a few times while walking around the house, walking very slowly and appearing depressed. With Parkinson’s disease you have bradykinesia, impaired posture and balance. From the objective information provided we have more information to diagnose the patient with Parkinson’s disease from the marked rigidity of his upper extremities with shuffling gait, stooped over position, grossly non-focal CN II-XII, tremor in upper extremities that appears present only with rest,†¦show more content†¦A 79 y/o male who stares into space, fallen a few times while walking around the house, walking very slowly, appearing depressed, marked rigidity of his upper extremities with shuffling gait, stooped over position, grossly non-focal CN II-XII, tremor in upper extremities that appears present only with rest, positive glabella tap test and difficulty walking heel-to-toe. - Dementia, elderly patients with dementia fall due to motor disturbances. -Hydrocephalus- consist of gait disturbances and mood changes. 3. What is the most likely diagnosis in this patient? Parkinson’s disease because of the information gathered from subjective and objective data. A 79 y/o male who stares into space, fallen a few times while walking around the house, walking very slowly, appearing depressed, marked rigidity of his upper extremities with shuffling gait, stooped over position, grossly non-focal CN II-XII, tremor in upper extremities that appears present only with rest, positive glabella tap test and difficulty walking heel-to-toe. 4. What is the most common presenting symptom for this disorder? The most common presenting symptoms for PD are tremors at rest of the upper extremities, bradykinesia, rigidity and postural instability. 5. What is the cause of this disorder? Dopamine levels decrease in the brain causing abnormal brain activity, leading to signs and symptoms of Parkinson s disease. The exact cause of Parkinson’s disease is unknown but many factors play a role