Forgetful 2

Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This elderly gentleman has presented with an interesting constellation of features:\n\n- A broad based, shuffling gait with hesitation in initiation, freezing, and bradykinesia\n- Cognitive impairments suggestive of dementia; this is confirmed by the mini-mental state examination (MMSE).\n- Urinary incontinence\n\nWhen his age is taken into consideration, several diagnostic possibilities present themselves: Parkinson\u0027s disease (PD), dementia with lewy bodies (DLB), vascular dementia, Alzheimer\u0027s dementia and normal pressure hydrocephalus (NPH).\n\nWhile PD classically presents with rigidity and bradykinesia, a minority of these patients can initially present with bradykinesia only.\n\nHowever, dementia associated with PD always develops at least one "}]}

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