A 72 year old male has a past medical history of CHF, hypertension, hyperlipidemia, GERD, and osteoarthritis. He has had complaints of non-specific leg weakness. He does also report that it is painful at times and does keep him awake occasionally. When questioned,...
A 52 year old female presents to an appointment with her physician. Her primary complaint is that she is sweating profusely. She also has been more anxious of late and can’t sleep. She states that it started approximately 2-4 weeks ago. Her past medical history...
Fatigue is a common complaint from patients. It can certainly be due to a variety of reasons, but never underestimate the possibility of medication induced fatigue especially when it comes to polypharmacy. Here’s the medication list, and factors I would...
JS is a 76 year old female who was having an increase in sleepiness. Her neighbor recently stopped by and found very sedated and difficult to arouse. She was almost “passed out”. An ambulance was called and she was taken to the ER. Her current...
Drug induced dementia can and does happen, and it is important to make sure that we assess multiple factors before adding more medications! Here’s the scenario: An 81 year old male presents with worsening confusion over the period of about 3-6 months. The...
A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration, she begins to experience increasing confusion and family begin to be...
