Put your knowledge and skills to the test with the case of Mr. X, a 67yo male, who presents with new-onset cognitive impairment, gait disturbance, dyskinesia, and urinary incontinence of 2 months duration. Mr. X now requires assistance with most ADLs including ambulation.
In terms of psychiatric history, he was diagnosed with bipolar depression 8 years ago, and has since been effectively treated with valproic acid and venlafaxine. Serum valproic acid level is within the therapeutic range.
What work-up would you order? What diagnosis or differential diagnosis are you considering?
"Treated with a mood stabilizer, he becomes incontinent and walks oddly" by Kumari S, Sridhar R, and Rao M (Current Psychiatry).
In terms of psychiatric history, he was diagnosed with bipolar depression 8 years ago, and has since been effectively treated with valproic acid and venlafaxine. Serum valproic acid level is within the therapeutic range.
What work-up would you order? What diagnosis or differential diagnosis are you considering?
"Treated with a mood stabilizer, he becomes incontinent and walks oddly" by Kumari S, Sridhar R, and Rao M (Current Psychiatry).
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