Individual is an 80yo White cisgender male, uses he/him pronouns, chronic venous insufficiency, high cholesterol, indications of coronary heart disease. Enjoys decorating. Feculent odor noted.
Sedentary lifestyle and poor dietary habits high in ultra-processed foods. BMI of 40. Physical traits point to metabolic syndrome.
Stooping posture, confabulation, and hypersensitivity suggest late stage dementia. Habitual nocturnal activity indicates a Circadian Rhythm Sleep-Wake Disorder with severe insomnia. Displays frequent exhaustion from sundown syndrome that limits participation in daytime events. Exhibits grandiose delusions when interviewed. Also noted is right leg weakness, facial droop, other motor deficits of unknown etiology.
Displays aggressive verbal behavior, swearing, inappropriate sex talk, and overreaction to minor setbacks or criticism. Has a sexual offense conviction. Danger to others. High suspicion of body dysmorphic disorder with tanorexia and excessive grooming. History of finasteride use for hair loss and ivermectin cream for rosacea.
Requires 24/7 monitoring by caregivers. Not sexually active. Malodorous pubic region with micropenis concealed by mild panniculus.
