Insistence of the director of senior housing project

Reference no: EM133722554

Question

A 77-year-old woman is brought to the clinic by her daughter at the insistence of the director of the senior housing project where she lives. Neighbors have complained that an odor is emanating from her apartment and that it is filthy. She does not bathe, and other tenants cannot ride in the elevator with her. She has not seen a physician in 7 years, despite a history of diabetes and increased cholesterol levels. On examination, the woman is disheveled, with dirty clothing, matted hair, and long fingernails and toenails. BMI and cardiovascular findings are normal. Which diagnosis best explains her current presentation?

Reference no: EM133722554

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