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    Case of Leticia

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    Princess Ann Ermac
    Leticia exhibited signs of cognitive decline including forgetfulness, difficulty with activities of daily living, and impaired motor skills. She was initially diagnosed with predementia but was later diagnosed with Alzheimer's dementia. Her symptoms and their progressive nature meet the diagnostic criteria for a major neurocognitive disorder due to probable Alzheimer's disease. Differential diagnoses include frontotemporal degeneration or vascular disease as the underlying cause.

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    Case of Leticia

    Uploaded by

    Princess Ann Ermac
    168 views3 pages
    Leticia exhibited signs of cognitive decline including forgetfulness, difficulty with activities of daily living, and impaired motor skills. She was initially diagnosed with predementia but was later diagnosed with Alzheimer's dementia. Her symptoms and their progressive nature meet the diagnostic criteria for a major neurocognitive disorder due to probable Alzheimer's disease. Differential diagnoses include frontotemporal degeneration or vascular disease as the underlying cause.

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    Case-of-Leticia

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    Leticia exhibited signs of cognitive decline including forgetfulness, difficulty with activities of daily living, and impaired motor skills. She was initially diagnosed with predementia but was later diagnosed with Alzheimer's dementia. Her symptoms and their progressive nature meet the diagnostic criteria for a major neurocognitive disorder due to probable Alzheimer's disease. Differential diagnoses include frontotemporal degeneration or vascular disease as the underlying cause.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    168 views3 pages

    Case of Leticia

    Uploaded by

    Princess Ann Ermac
    Leticia exhibited signs of cognitive decline including forgetfulness, difficulty with activities of daily living, and impaired motor skills. She was initially diagnosed with predementia but was later diagnosed with Alzheimer's dementia. Her symptoms and their progressive nature meet the diagnostic criteria for a major neurocognitive disorder due to probable Alzheimer's disease. Differential diagnoses include frontotemporal degeneration or vascular disease as the underlying cause.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 3

    Christian E.

    Valenzuela Score:__________
    Student No.: 202107154____ BSP 2-4 June 05, 2023
    The Case of Leticia

    Dysfunction
    1. "She doesn't know how to cook, like 'yung ginataan na masarap nyang ginagawa, di na
    nya alam. Kung pano yung ingredients.
    2. Activities of daily living became more and more difficult for Leticia. "Binigyan namin sya
    ng yaya. Even her motor skills were fleeting. Sometimes bindi na nya alam humawak ng
    kutsara tinidor. Yung [dapat] automatic. Yung kanin nasa tinidor.
    3. "That was the time na absolutely hindi na sya nakakatayo. Hindi na rin nagsasalita, during
    the time she was bedridden." Now unable to eat on her own, Leticia had to be given a
    nasogastric tube, where food could be given straight to her stomach
    Distress
    1. She would often forget the right word for something, "Hindi na nya maalala, "ano na nga
    ito?" This was frustrating for her, and she would often remark on her own forgetfulness.
    "Ang patal ko na, " she would say.
    2. Nag-aaway sila ng nanay ko. She will explain herself pero minsan mali mga explanations
    niya.
    3. Leticia would argue with the guard- "Sinisigawan niya. Kawawa yung guwardiya." By this
    time, her personality had become argumentative. "'Nakikipag-away [siya] kahit na kanino.
    4. Sabi ko parang nag- imagine ka ba? Nagdadart nanaman ung eyes niya. She was really
    afraid . Sabi ko, nag-imagine si mama."
    5. "Ang talagang weird... sabi nya sakin na ang father ko daw ay may babae, " Evelyn
    confided. "My father is a very religious person. Vi once wala syang ganyan. I know my
    father. He's a very strict guy .... He belongs to a group of joggers, may kasama din sya
    dun na matanda.... Apparently pinagselosan.

    Deviance
    1. Paranoia was the first thing that stood out. One of the earliest incidents in Evelyn's memory
    was when the family took a trip to an amusement park outside of Manila. It was relatively
    early, and everyone else was still having fun, when Leticia began trying to convince her
    daughter that they should go home. "Nagmamadali siya umuwi. 'Alis na tayo, uwi na tayo.
    ' May sinasabi siyang about something na nakakatakot or something”.
    2. Pagbalik nya nagkekwento siya. May aswang daw sa ilalaim ng kabilang bahay. It's an old
    house. Meron talagang silong yon. It's like a storage space. Meron daw sa ibaba. [It had]
    wide eyes. Parang bata daw.
    Dangerousness
    1. Nagsaing sya once na walang tubig... Dun nagalit ung tatay ko kasi susunugin daw niya
    ung bahay.
    2. "One time, nawala ang nanay ko. She had a habit of going out. Nakaligtaan siya ng
    kanyang yaya.. She had left the house a little before noon. "Pagdating ng hapon, hindi pa
    rin namin mahanap."
    3. Once, she was standing on a built-in concrete bench near the wall of the house's perimeter
    fence, but couldn't get back down. It started raining. "She was soaked! [She was there]
    the whole day! 'Yun na 'yung nagsimula na talagang... she had infections.

    SIGNS AND SYMPTOMS DIAGNOSTIC CRITERIA

    • She would often forget the right word for • The criteria are met for major or mild
    something, "Hindi na nya maalala, "ano neurocognitive disorder.
    na nga ito?" This was frustrating for her,
    and she would often remark on her own
    forgetfulness. "Ang patal ko na, " she
    would say.
    • "She doesn't know how to cook, like
    'yung ginataan na masarap nyang
    ginagawa, di na nya alam. Kung pano
    yung ingredients.
    • Activities of daily living became more and
    more difficult for Leticia. "Binigyan namin
    sya ng yaya. Even her motor skills were
    fleeting. Sometimes bindi na nya alam
    humawak ng kutsara tinidor. Yung
    [dapat] automatic. Yung kanin nasa
    tinidor.
    • “Nagsaing sya once na walang tubig”
    • There is insidious onset and gradual
    • She managed the place easily and even progression of impairment in one or more
    computed sales in her head, "Ni wala cognitive domains
    syang ginagamit na calculator.”
    • She would often forget the right word for
    something, "Hindi na nya maalala, "ano
    na nga ito?" This was frustrating for her,
    and she would often remark on her own
    forgetfulness. "Ang patal ko na, " she
    would say.
    • "She doesn't know how to cook, like
    'yung ginataan na masarap nyang
    ginagawa, di na nya alam. Kung pano
    yung ingredients.
    • "Na-diagnose sya as predementia . . ..
    That's reversible”
    • Eventually, Leticia was diagnosed to
    have Alzheimer's dementia, an
    irreversible condition.
    • Activities of daily living became more and
    more difficult for Leticia. "Binigyan namin
    sya ng yaya. Even her motor skills were
    fleeting. Sometimes bindi na nya alam
    humawak ng kutsara tinidor. Yung
    [dapat] automatic. Yung kanin nasa
    tinidor.
    • She managed the place easily and even • Criteria are met for either probable or
    computed sales in her head, "Ni wala possible Alzheimer’s disease as follows:
    syang ginagamit na calculator.” (For major neurocognitive disorder):
    • She would often forget the right word for a) Clear evidence of decline in
    something, "Hindi na nya maalala, "ano memory and learning and at least
    na nga ito?" This was frustrating for her, one other cognitive domain
    and she would often remark on her own b) Steadily progressive, gradual
    forgetfulness. "Ang patal ko na, " she
    decline in cognition, without
    would say.
    extended plateaus.
    • "She doesn't know how to cook, like
    'yung ginataan na masarap nyang c) No evidence of mixed etiology
    ginagawa, di na nya alam. Kung pano
    yung ingredients.
    • "Na-diagnose sya as predementia . . ..
    That's reversible”
    • Eventually, Leticia was diagnosed to
    have Alzheimer's dementia, an
    irreversible condition.
    • Activities of daily living became more and
    more difficult for Leticia. "Binigyan namin
    sya ng yaya. Even her motor skills were
    fleeting. Sometimes bindi na nya alam
    humawak ng kutsara tinidor. Yung
    [dapat] automatic. Yung kanin nasa
    tinidor.

    What is your diagnosis?


    Severe major neurocognitive disorder due to probable Alzheimer’s disease, with behavioral
    disturbance

    State at least 2 differential diagnoses


    1. Severe major neurocognitive disorder due to possible frontotemporal degeneration, with
    behavioral disturbance,
    2. Severe major neurocognitive disorder due to possible vascular disease, with behavioral
    disturbance,

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