90+ y/o female. PMH of schizoaffective d/o, Parkinsons, and | Figure 1

Silvarius

Registered Nurse

90+ y/o female. PMH of schizoaffective d/o, Parkinsons, and Alzheimers. Currently wheelchair bound and dependant on staff for ADLs. Been trying to get her on hospice for a while, but they refuse cause her labs are good. Currently on Sinemet, Comtan, Requip, Zyprexa and Depakote. This woman never ceases to amaze. These are her most recent labs.


Cases

60 yo male presents with a hx of parkinson c/o of abdominal pain.

What is the dx, ddx and treatment?

A 64-year old architect complains of left handed tremor at rest.

70 yo woman complains of gait difficulties.