Friday, September 19, 2008

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IV CASE REPORT ...


Fourth Schizophrenos case report that suggests to readers:

Miriam Rossi of 76 years.

Family history:

- Mother died of myocardial infarction;
- Father died of pulmonary embolism, the woman recalled a typical trembling chin
presented by his father some years before his death;

medical history:

- Reports urinary incontinence one year;
- with major depression to be permanent;
- also refers to an episode paralysis dell'emifaccia left;

next medical history:

- present at the chin tremor arose from a few months and worsened in the last week
;

EO:

Age: 76 years
Weight: 58 kg;
Conditions: Good;
cardiac auscultation: Mild tachycardia;
Abdomen: negotiable, not painful on palpation sup. and deep;
neurologic examination: slowing of vertical saccadic eye movements, postural instability;

Laboratory Tests:

- MRI brain atrophy of the putamen, very dilated ventricles.

Beware the DD

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