Lanny Snow Character Analysis

Lanny Snow was seen in followup for history of Parkinsonism as well as history of dementia, probably due to Lewy body disease. He continues on galantamine 8 mg twice daily to help slow progression of memory concerns from organic dementia. Both the patient and his wife agree that he has not had significant worsening of his memory or cognitive ability since last seen by me about five months ago. He is on Sinemet 25/100 three time a day for Parkinsonism. He has noticed that he is somewhat more "stiff" on standing but can still stand on his own. He states that occasionally, if he is standing, he will "take a couple of steps backwards", but then states "I get my bearings". Both the patient and his wife and agree that he is not actually losing …show more content…
He converses appropriately. He is in no acute distress. Blood pressure 140/70. Pulse is 60 and regular. Weight 166 pounds. He continues to have deceased short-term memory ability but unchanged from when last seen by me. He has mildly decreased concentration ability. He continues to have construction dyspraxia, but no other dyspraxia, but no other higher cortical function deficits. He has mild to moderate decreased executive cognitive ability. He has a mildly masked appearance of his face at rest. His face continues to symmetric at rest with good strength throughout his face. The remaining of his cranial nerve examination was within normal limits. He has good strength of his extremities. He has mild cogwheel rigidity of both wrists and minimal cogwheel rigidity of both elbows. He has minimally increased tone of his lower extremities, not true cogwheel rigidity. No tremor of his hands. He has mild bradykinesia of movement of his extremities as well as of standing. He is able to stand on his own, though. He walks a little slowly, but does not shuffle his feet when walking. He has minimal to mild en bloc turning. He has good posture stability reflexes. He is able to walk, including turning, without losing his