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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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My mother is 94 yrs old, she was fine one day and two hrs

Customer Question

my mother is 94 yrs old, she was fine one day and two hrs later she didn't know any of us kids, all blood tests are ok, mri is ok, urine is ok, but still is disoriented, confused. The only thing they found was high enzyne count in her thyroid. Can the thyroid cause all these problems? help, the hospital has really got me upset.
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: I don't have done on my understand your question. This is all the testing they mother
JA: Anything else in your medical history you think the doctor should know?
Customer: no, she is only on 5 mg blood pressure pill, no new medications or vitamins, she is 5'4" & 99 lbs and has always been in good health, she has had no stroke and shows no blood on her brain.
Submitted: 9 months ago.
Category: Medical
Expert:  Christopher Palmer replied 9 months ago.

Hello I'm Dr Palmer. It sounds like they were able to rule out stroke. Any history of declining memory or dementia? Yes if the thyroid issue is extreme enough it could cause this, but less likely as this seems to have come out of nowhere.

Expert:  Christopher Palmer replied 9 months ago.

Did they check her urine for UTI, any evidence of skin infection or lung infection/pneumonia or aspiration pneumonia as far as you know? Any infection can cause mental status changes in elderly, especially UTI.

Expert:  Christopher Palmer replied 9 months ago.

THe most common causes of mental status changes are what I have said above but also, brain infections like meningitis, electrolyte abnormality, high ammonia level if liver damage, concussion, stroke, thyroid or adrenal disorder, very very high blood pressure can, withdrawl from meds or alcohol. These and what I mentioned above are the most common causes. Is sh experience other symptoms? Fevers, chills, diarrhea, vomiting or just the confusion.

Expert:  Christopher Palmer replied 9 months ago.

Has her mental status improved at all?