Answered: What are the major deficits exhibited…

Human Physiology: From Cells to Systems (MindTap Course List)

9th Edition

ISBN:9781285866932

Author:Lauralee Sherwood

Publisher:Lauralee Sherwood

Chapter5: The Central Nervous System

Section: Chapter Questions

Problem 1TAHL

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Question

A 37-year old male patient visited an outpatient clinic with complaints of memory deficits three years earlier. Working as an industrial researcher, he started to make serious calculation mistakes that made him quit the job and began working as a manager in a company. However, his frequent forgetfulness and aggravation in recent memory impairments hampered him from fulfilling his duties, making him change jobs frequently. Disorientation to time and person was worsened to a degree which it became impossible to commute daily between his workplace and home. At the time of his visit to our clinic, he was fired from his recent job and needed frequent reminders from his family to maintain hygiene. His sleep disturbance became prominent, frequently waking up middle of the night self-talking. Before he visited our clinic, he had visited two hospitals to evaluate and manage his symptoms, but to no avail. For a thorough examination of his symptoms, he was immediately admitted to our psychiatric ward. His laboratory findings did not reveal any abnormalities, and his tests for human immunodeficiency virus, syphilis all turned out to be negative. Upon his psychiatric admission, a neuropsychological test battery was implemented to evaluate the patient's cognitive status. He scored 22 in the Mini-mental status examination. In his cognitive tests, in contrast to his relatively preserved language function, he displayed serious impairments in free recall, 20-minute delayed recall, and recognition. Brain magnetic resonance imaging demonstrated global cerebral atrophy of grade 1 by cortical atrophy scaleand significant medial temporal lobe atrophy of grade 2 by medial temporal lobe atrophy visual rating scale. What are the major deficits exhibited by the patient? What is your clinical impression of the client? What assessment would you carry out as an SLP?

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