A 75 year old male suffering from type II diabetes mellitus, hypertensive,bipolar type II, non-alcoholic was presented with perseveration of speech for last 4 months. His systemic examination, mental faculties like memory are normal. He does not admits to depression. Most routine investigation and MRI brain and cord are normal. What should be his management? He was on long term lorazepam but no mood stablizers. He took dosulepin for years in the past.
He also shows benignprostatic hyperplasia (BPH) with post void residue being significant. His dosulepin was later stopped. Previously landed into renal failure and Urinary Tract Infection (UTI) but renal function is normal except for recurrent UTI. He received anti tuberculosis treatment for years for sterile pyurea . He was treated for agitated depression as he kept repeating the same sentence all day .Minimal improvement was seen. I…
