Question

Course Project Case Study: Mr. Lopez is an 85 year-old Hispanic man who was admitted to the hospital with complaints of fatigue, decreased appetite, and a 25 pound weight loss over the past six months. He also reports change in his short term memory. He used to be active with his local retired friends and walked 1.5 miles a day but now spends most of his time in his recliner watching television. He has a medical history of coronary artery disease and hypertension.

Orders include: Regular diet, calorie count Ensure shakes TID daily Ambulate TID daily, stand by assist Daily weights Warfarin 2 mg PO daily Digoxin 125 mcg PO daily Atorvastatin 20 mg PO daily Escitalopram 10 mg PO daily Metoprolol 50 mg PO BID Do not resuscitate

Choose five labs or diagnostic tests that might be ordered for your case study client. Note normal results, expected abnormal values, and what that would signify for your client.

Answer 1

Tests :

1- Blood test (CBC)

2- Histological staining of brain tissues - showing neurofibrillary tangles of tau protein

3- MRI brain - shrinkage or cortex of medial temporal lobe

4 - CT scan brain

5- PET Scan

There might be tumour or secondary tuberculosis in the brain as there is rapid decline in weight , 25 pound in 6 months .

There is also chance of vascular dementia as patient has history of coronary artery disease .

According to age of patient , this dementia is most likely due to degenerative changes and most common is Alzehimer' disease .

This case mostly signifies towards alzehimer disease.