Normal-pressure Hydrocephalus

60 year old male with urinary frequency and imbalance of gait. Questions; 1.diagnosis 2.Diagnostic test 3.Treatment 4.Concerns with postoperative issues.

a 38 year old Male patient came to psychiatry opd with wife and brother ( informants - reliable and adequate) with complaints of giddiness, headache, tingling sensation and numbness in bilateral limbs with coarse tremors, disturbances in gait ( wide base gait with stamping of the feets) , visual disturbances ( both short and distant vision with blurring) wife reports low mood, decreased interaction and irritability. forementioned complaints present for past 5-6 months. The patient is a also a known alcoholic with consumption from last 5-6 years. Has h/o consumption of both English and country liquor ( desi, hath bhatti) ranging from two and half to three quarters with h/o binge drinking for 6 month. There have short intervals of abstinence with patient having tremors and headache. however the patient has been abstinent for past 4-5 months owing to above mentioned complaints that were gradually progressive. The patient has H/o head trauma 6 months backs falling roadside with H/o severe bleeding, patient was intoxicated then no Loss of consciousness, ENT bleed, seizures. the patient's major complaint is visual and gait disturbances with coarse tremors. with mood disturbances and irritability. provisional diagnosis with Differentials investigations treatment.

70 years old woman with progressive memory impairment from 8 years, behavioural changes from 8 years - child like, uncontrolled laughing n crying, urinary incontinence with indifference to incontinence, gait disturbance from 4 years. Diagnosis?

55 yr old female with urinary incontinence n difficulty walking.diagnosis and how to go abt mx

A 75 y/o male presented to the ED with a depressed level of consciousness. His wife is at the bedside and states he was stacking heavy boxes when he complained of a sudden intense headache. He subsequently sat down on the couch and progressively lost consciousness. She states that he had a headache the previous week that was also sudden but not as intense. He had gone to visit his primary-care physician who sent him to have a CT scan of the brain, which was normal. Over the course of the past week, he complained of intermittent pulsating headaches for which he took sumatriptan. In the ED, you intubate the patient and obtain the noncontrast head CT seen below. The scan is most consistent with which diagnosis? 1) Meningoencephalitis 2) SHA 3) Normal-pressure hydrocephalus 4) Epidural hematoma 5) Subdural hematoma