Delirium Superimposed on Lewy Body Dementia — Informant History from Nursing Staff, Coming to the Diagnosis (UTI, Bereavement, Fall, Aggression) — CASC Station 3.35 (Clinical Assessment)

MRCPsych CASC Clinical Assessment station: Delirium Superimposed on Lewy Body Dementia — Informant History from Nursing Staff, Coming to the Diagnosis…

Category: Clinical Assessment · Chapter 3: Clinical Scenarios & Communication

Candidate brief

You are an old age psychiatry registrar on call. You have been contacted by Maple Grove Care Home and asked to attend urgently. The care home manager has…

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More Clinical Assessment stations

• 3.13 Dementia and Depression in Down Syndrome — Collateral History from Mother and Arriving at an Explanation
• 3.15 Conversion Disorder (Functional Neurological Symptom Disorder) — History of Presenting Complaint and Social History
• 3.20 Mental Capacity Assessment — Starting Sertraline in a Depressed Man with Learning Disability
• 3.24 Elderly Depressed Patient with Alcohol Use — History-Taking to Explore Reasons for Weight Loss
• 3.26 Lewy Body Dementia — Neurological Examination Focused on Parkinsonism
• 3.30 Somatic Symptom Disorder with Predominant Pain — History-Taking (Do Not Discuss Diagnosis)
• 3.36 Opioid Use — Comprehensive Drug History and Associated Risk Assessment
• 3.37 Alcohol History — Social Impact Assessment and Insight/Motivation (Marital Crisis, Wife's Ultimatum)

Other stations in Chapter 3

• 3.1 Assessing Suitability for IPT (Interpersonal Psychotherapy)
• 3.2 Antenatal Mental Health Review — Quetiapine and Gestational Diabetes
• 3.3 Clozapine Discussion in Treatment-Resistant Schizophrenia
• 3.4 Informing and Reassuring an Angry Relative About a Schizophrenia Diagnosis
• 3.5 Exploring Therapy Termination — Patient Wanting to Leave Psychotherapy Following Therapist's Leave of Absence
• 3.6 Perinatal Risk Assessment — Domestic Abuse and Disrupted Family Relationships
• 3.7 Collateral History from Spouse — Vascular Dementia
• 3.8 Reassuring an Anxious Patient with Normal Cognitive Testing — Memory Concerns Without Dementia
• 3.9 Acute Psychosis and DVLA — Addressing Driving Concerns After a Psychotic Episode
• 3.10 Hyperprolactinaemia on Olanzapine — Focused History, Explaining Results, and Holistic Management
• 3.11 Postpartum Psychosis — Assessing Nature and Severity of Symptoms and Risk in a Mother Who Believes Her Baby Is Possessed
• 3.12 Lewy Body Dementia — Devising a Management Plan with the Grandson Following New Behavioural Changes
• 3.14 Self-Harm History and Risk Assessment — First-Time Wrist Cutting in a University Student Under Academic and Financial Stress
• 3.16 Autism vs Schizophrenia — MSE, Exploration of Behavioural Change, and Differentiating ASD Traits from Psychotic Features
• 3.17 Schizophrenia and Employment Loss — Explore Changes After Employer Conflict, Risk Assessment, and Management Plan
• 3.18 Alzheimer's Disease — Genetic Risk Counselling for the Adult Child of a Newly Diagnosed Patient
• 3.19 Adult ADHD — Explaining Diagnosis and Discussing a Comprehensive Management Plan
• 3.21 SSRI Sexual Dysfunction — Explore the Patient's Reasons for Stopping Medication and Assess Aetiological Factors
• 3.22 Anorexia Nervosa — Discussing Prognosis with a Relative: Favourable and Unfavourable Prognostic Factors Including Personality Traits
• 3.23 Schizophrenia — Discharge Planning Discussion with the Mother of a Patient Who Assaulted Her: Psychoeducation, Expectations, and Safety Plan
• 3.25 Schizophrenia in a Forensic Unit — Mental State Examination and Risk Assessment of a Patient with Paranoid Delusions and Stated Intent to Harm
• 3.27 Family Dynamics and Highly Expressed Emotion — History-Taking with a Carer and Introduction to Family Intervention
• 3.28 Mental State Examination — Acute Psychosis with Persecutory Delusions and Auditory Hallucinations (The Postman)
• 3.29 Mental State Examination — Acute Mania with Grandiose Delusions (Madonna is My Sister)
• 3.31 Mental State Examination — Delusional Disorder (Government Chip Implanted via "The Tube Test"; Significance of 666)
• 3.32 Lewy Body Dementia with Learning Disability — Explaining the DATscan Result and Biopsychosocial Management to the Patient's Sister
• 3.33 First Episode Psychosis — Biopsychosocial Management Discussion with the Patient's Mother (Olanzapine Side Effects, High Expressed Emotion, and Social Losses)
• 3.34 Forensic Risk Assessment — Indecent Exposure (Exhibitionistic Disorder)
• 3.38 PTSD History-Taking — Ex-Combat Veteran, Afghanistan (IED Incident, Survivor Guilt, Moral Injury)
• 3.39 Panic Attacks and Social Avoidance — History-Taking and Diagnosis Delivery (Best Man Speech, Wedding in Six Weeks)
• 3.40 Paedophilic Disorder — Risk Assessment (Voluntary Disclosure to Police; Babysitting Incident; Pre-Contact Presentation)
• 3.41 Heroin Dependence — History-Taking and Risk Assessment (IV Use, Three Overdoses, HCV, Pregnant Partner, Harm Reduction)
• 3.42 Displacement Reaction — Occupational Agitation Secondary to Suspected Marital Infidelity
• 3.43 Neuroleptic Malignant Syndrome — Explaining the Diagnosis and Management Plan to a Patient's Father
• 3.44 Hypochondriasis — Explaining the Diagnosis and Treatment to a Patient's Girlfriend
• 3.45 Post-MI Depression and Cardiac Rehabilitation — Teaching a Medical Student
• 3.46 Alcohol Withdrawal Delirium — Liaison Discussion with an Orthopaedic Nurse
• 3.47 Anorexia Nervosa — Explaining the Diagnosis and Treatment to a Patient's Mother
• 3.48 Puerperal Psychosis Prophylaxis — Pre-Birth Counselling at 36 Weeks
• 3.49 Medically Unexplained Cardiac Symptoms — History, Vulnerability, and Allaying Anxiety
• 3.50 CAMHS Developmental History — Thomas, Age 8, with Aggressive Behaviour
• 3.51 Mental State Examination — Mr Miller, 35, Referred with Possible Psychotic Symptoms
• 3.52 Dissociative Stupor — Brief History from Mother and Explanation of Diagnosis
• 3.53 Exploring Delusions — Primary vs Secondary, and Risk Assessment: Mrs Margaret Hughes, 60
• 3.54 Clozapine, Discharge Concerns, and Safeguarding — Talking to Daniel Carter's Angry Mother
• 3.55 Delusions of Guilt in Late Life — History from Mrs Dorothy Hawkins, 73
• 3.56 Suicide Risk Assessment After Overdose — Ms Sophie Ahmed, 22, Third ED Presentation in 10 Days
• 3.57 Psychosocial Treatments for Negative Symptoms and Depression — Miss Brown, 31
• 3.58 Post-Bereavement History and Formulation — Mrs. Margaret Brown, 53
• 3.59 Weight Gain — Psychosocial History and Motivation to Change
• 3.60 Lithium Augmentation — Explanation and Discussion
• 3.61 Electroconvulsive Therapy — Explanation and Discussion
• 3.62 Bipolar Affective Disorder — Diagnosis and Management Plan
• 3.63 Mental Capacity Assessment and Best Interests — Collateral: Support Worker
• 3.64 Morbid Jealousy — Diagnosis, Risk, and Management — Collateral: Partner
• 3.65 Paracetamol Overdose — History, Risk Assessment, and Discharge Decision — Aisha Khan, 16
• 3.66 Clozapine-Induced Metabolic Syndrome — Explaining Results and Management Plan
• 3.67 Erotomania — History Taking and Dangerousness Assessment
• 3.68 Refeeding Syndrome in Anorexia Nervosa — Collateral: CAMHS CPN
• 3.69 Acute Mania on PICU — Discussing Treatment Options with Nurse in Charge
• 3.70 Seclusion Review of a Dehydrated Patient — Handover from Nurse O'Brien
• 3.71 Olanzapine-Induced Weight Gain — Discussing Weight Management with a Patient

All 110 CASC stations · CASC Success Guide eBook