The prescribing cascade occurs when a side effect of a medication is misinterpreted as a new medical condition, leading to the prescription of additional medicines that may be unnecessary and potentially harmful. In patients with dementia, this can be common due to...
JR is an 88-year-old female who reports increasing episodes of dizziness upon standing over the past month. She describes it as a lightheaded sensation that lasts about 10–15 seconds after getting up from bed or a chair. From a medical standpoint, we would likely call...
In this case scenario, we outline a situation of risperidone causing tardive dyskinesia. Tardive dyskinesia is a neurological movement disorder that is typically caused by medications that can block dopamine receptors. Antipsychotics are the most commonly used class...
In this case scenario, we discuss the interplay between prednisone in diabetes. Clinical situations like this are frequent in practice and prednisone can really mess up a patient’s well-controlled blood sugars (common board exam question). Here’s the...
SM is a 48-year-old female who has new-onset symptoms of restlessness, irritability, insomnia, and vivid nightmares. Over the past 3 months, she has also experienced increasing anxiety and mood swings. She reports a feeling of impending doom and difficulty...
MS is a 78-year-old female with a history of overactive bladder with urinary frequency and urge incontinence. Her current medications include: Oxybutynin 5 mg twice daily, Hydrochlorothiazide 25 mg daily, Lisinopril 10 mg daily, Sertraline 25 mg daily, Lorazepam 0.25...
