A 74-year-old male with previously diagnosed dementia, HLP, HTN, h/o seizures and major depressive disorder was admitted to the hospital from his old age home with altered mental status and frequent falls. The previous documentation shows that his seizures have been well-controlled on phenytoin over the past 20 years. Depression and dementia has been followed by psychiatry on a chronic basis. He is currently taking aripiprazole for delusions, and benztropine was recently added with the thought that his frequent forward falls may be secondary to antipsychotic-related dyskinesia.
Per old age home staff, the patient does have a history of both bladder and bowel incontinence. Physical Examination VS: T 36.7-P 65-RR 20-BP 116/70-SpO2 92% Alert, cooperative with the physical exam, in no acute distress CV: RRR, normal S1 and S2. No murmurs, rubs, or gallops Lungs: CTA (B), no wheezes, rales,…
