A 70-year-old female presents with a 6-month history of irritability, mood swings, and emotional instability. She feels “up and down” for no apparent reason and has been increasingly frustrated with her family. She also reports feeling excessively fatigued and has been unable to concentrate on tasks. Her daughter reports that she has become more forgetful over the past few months and has had trouble managing her finances. She has no history of depression but does have a history of hypertension and osteoarthritis.
Questions
- Differential Diagnoses
Based on the patient’s presentation, what are the potential differential diagnoses? Prioritize these diagnoses based on the patient’s clinical presentation and risk factors. - Diagnostic Workup
What diagnostic tests would you order to differentiate between these diagnoses? Explain the rationale for each test. - Treatment Plan
Develop a comprehensive treatment plan for the most likely diagnosis, considering the patient’s age, comorbidities, and potential side effects. - Patient Education
What important information should you provide to the patient and their family regarding the diagnosis, treatment, and prevention of further episodes?
For peer response answer this:
- How do you prepare her and the family to start thinking about end of life wishes?
What is she says she feels pins and needles?
Submission Instructions:
- Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
- All replies must be constructive and use literature where possible.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
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