23rd August 2024

A 70-year-old female is brought to the GP by her husband due to concerns with her vision over the last few months

A 70-year-old female is brought to the GP by her husband due to concerns with her vision over the last few months. He reports that he sometimes finds her talking to her grandchildren when they are not there and that she has thrown a few objects out recently saying they were broken when they weren’t. On assessment the patient is withdrawn and is reluctant to answer any questions. A cranial nerve examination is normal with no facial droop and the patient has normal power throughout all four limbs. She has a mild resting tremor in her left hand along with increased tone. She has an irregular heart beat. Her chest is clear on auscultation. What is the most likely underlying diagnosis?

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