Question

Mr. Weiss is seen for a routine visit for Alzheimer's. There is no code in place. The chart is reviewed along with the nursing notes. Advanced directives are in place. The graphic chart is also reviewed. The patient is experiencing no fevers, chills, chest pain or shortness of breath. Nurse states patient continues to be frequently delusional.

EXAMINATION: This well-developed, well-nourished gentleman is sitting without distress.
HEENT—normocephalic and atraumatic. Neck is supple. Lungs are clear to auscultation. Extremities show little to no edema.
IMPRESSION:
1. Alzheimer dementia
2. Atypical psychosis with delusions
As the patient is otherwise clinically stable; the rest of the treatment is without change.

Answer 1

This medical case discussion focuses on Alzheimer's disease assessment, symptoms of sensory impairments, and the use of imaging for diagnosing neurodegeneration.

Step-by-step explanation:

The question pertains to the medical field, specifically focusing on the assessment and management of Alzheimer's disease and associated conditions such as atypical psychosis. The provided cases involved neurological examinations and treatment plans to address symptoms that suggest sensory system impairments, possibly indicative of further underlying issues such as embolism. Additionally, the cases mention utilizing a radiopharmaceutical for producing a brain image to assess Alzheimer's disease, highlighting the significance of neurodegeneration within key brain regions, such as the ventricles and hippocampus. Treatments like aspirin therapy are implemented to prevent complications like blood clots.

The subject of this question is Medicine. It is discussing a routine visit for Alzheimer's and the examination of the patient. The doctor performs a series of physical tests, including asking the patient to perform certain actions, testing muscular strength, and assessing sensory perception. Based on the symptoms reported, the doctor determines a possible problem with the sensory systems between the spinal cord and the brain. The patient is then put on aspirin therapy to prevent blood clots.