Confusion and ataxia in a patient with bipolar

She’s had nausea, vomiting and diarrhoea for the past few days
Dr Shaun Greene
Senior woman bed sick headache

Marion, a 65-year-old woman, is brought to her GP by her sister, Rhonda.

When Rhonda went to Marion’s home that morning to check on her after not hearing from her for a few days, she found Marion in bed, apparently confused.

She appeared off-balance and required Rhonda’s help to mobilise.

Marion lives alone. She has a history of bipolar affective disorder, treated with lithium, and recently diagnosed hypertension, treated with perindopril.