A 77 year old male is receiving the following medications: aspirin omeprazole metronidazole thiamine ibuprofen tramadol lamotrigine So, based on this limited information, what would I investigate? Without diagnosis listed, there are a few things that I’m going...
JT is a 66 year old male with a past medical history of hypertension and GERD. His current medications include hydrochlorothiazide, lisinopril, nifedipine, and omeprazole. JT has been having significant facial pain and is diagnosed with trigeminal neuralgia. So...
There are definitely a few medications out there that can contribute to drug induced hypercalcemia. Here’s a brief case scenario I came across that demonstrates that! A 79 year old female at a long term care facility was having difficulty with hypercalcemia....
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety. Other causes such as medication and medical conditions were ruled out,...
A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration, she begins to experience increasing confusion and family begin to be...
Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...