The Gravity Trap: The Hidden Autonomic Collapse in Parkinson’s Prepared by Dr Kwa Schee Li Supervised by: Dr. Tunku Muzafar Shah, Dr. Nurul Huda binti Mohd Zambri Case Summary Mr. FCT is a 71-year-old man with Hoehn and Yahr Stage 4 Parkinson’s disease (diagnosed in 2019) and a Clinical Frailty Scale (CFS) score of 6. His comorbidities include type 2 diabetes mellitus, hypertension, ischemic heart disease, dyslipidemia, benign prostatic hyperplasia (BPH), and paroxysmal atri

“This Is Not Him”: The Long Road Back to Baseline Prepared by: Dr Nuur Habibah Ghazali Supervised by: Dr Nurul Huda Mohd Zambri Case Summary Mr A was a 79-year-old gentleman with untreated hypertension and a history of male breast cancer treated with surgery and chemoradiotherapy. He lived with two of his sons and was previously independent in his basic activities of daily living. He walked without an aid, prepared his own breakfast, bought food and helped at his son’s stall.

The Valproate Trap: When Parkinson’s" and Dementia Are Found in a Pillbox Prepared by Dr. Khaw Mae Jane Supervised by Dato Dr. Tunku Muzafar Shah, Dr. Chee Sing Hui Case Summary Patient Profile Background Mdm PCL is a 64-year-old Chinese lady (Clinical Frailty Scale 4) who was referred to the Geriatrics Clinic from a private neuropsychiatry practice. She lives with her 73-year-old husband in an urban condominium. She demonstrates excellent functional capacity, independen