A 60-Year-Old Woman With Sleep Problems and Odd Behavior

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A 60-Year-Old Woman With Sleep Problems and Odd Behavior
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A 60-year-old woman reports awakening without feeling rested every morning. Her daughter reports that her mother has also had recent problems with attention and 'losing things.' What's the cause? MedEd

The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please. During the evaluation by synchronous video, the patient reported problems sleeping.

Her daughter was invited in for part of the interview and confirmed the patient's history of depression and remission. The patient's daughter also reported that physical illness greatly contributed to the return of her mother's depression. She also reported problems that came and went with memory, attention, and"losing things" over the past 6 months. The patient reportedly appeared to not be doing some daily routines, staying indoors, and consuming wine more often.

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