85-year-old woman presents with tardive dyskinesia
History of Present Illness: Six months prior to today's visit, this 85-year-old patient experienced a fall while walking home from a local bakery. She experienced bruised arms and legs, and a subdural hematoma that was detected the same day as the fall. The patient was prescribed risperidone to mitigate any further symptomatic escalation. She was previously (seven years ago) diagnosed with hyperlipidemia and prescribed Lipitor. For the past two months, she has been experiencing a sudden increased difficulty in controlling the movement of her tongue and jaw, to the point where eating and socialization have been affected. She is seeking help in diagnosing and addressing these symptoms.
Social History: This patient denies alcohol, tobacco, and illicit drug use. She lives with her husband and their two cats. She has two children and three grandchildren who visit her every month.
Medication: Lipitor. Baby aspirin daily.
Allergies: Seasonal (spring).
1. What further testing (if any) would you perform on this patient?
2. What changes (if any) would you make to the patient's medication regimen?