30th April 2024

A 70-year-old man is admitted to hospital following a fall at home. You are called to see him

A 70-year-old man is admitted to hospital following a fall at home. You are called to see him on the ward as he is distressed and appears to be reacting to things that aren’t there. You note that a colleague earlier had given him some haloperidol as he was getting distressed by visual hallucinations and disturbing other patients. On examination, you note a tremor, and he is walking with a shuffling, unsteady gait. You are unable to carry out a cognitive screen due to his distress, but note he scored 4/10 on his admission AMTS. His daughter states that he has been having memory issues and struggling to sleep for the past 8 months.

What is the most likely underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.