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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Insomnia And Paranoia In An Elderly Person

70 yo WM, no PMHx (reportedly extremely healthy), presents with delusions of grandeur, impulsivity, confabulation, insomnia, paranoia. Denies EtOH. Denies meds. Reportedly high functioning (not verified). Previous business executive. Exam positive for orange discolored skin, grimaced facial expression, brachydactyly, abnormal hand movements, mild truncal obesity. No labs available.
posted on Fri, 10 Mar 2017
Twitter Mon, 28 Aug 2017 Answered on
Twitter Tue, 29 Aug 2017 Last reviewed on
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General & Family Physician,  's  Response
Hello,
This could be anything from some sort of drug reaction to a brain tumor. The patient must see a doctor and get some head imaging and blood testing done to start. Follow up, diagnosis and treatment must be based on cause.
Regards
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Suggest Treatment For Insomnia And Paranoia In An Elderly Person

Hello, This could be anything from some sort of drug reaction to a brain tumor. The patient must see a doctor and get some head imaging and blood testing done to start. Follow up, diagnosis and treatment must be based on cause. Regards