Your patient is a 77 year-old woman who has been more socially withdrawn lately
ID: 57285 • Letter: Y
Question
Your patient is a 77 year-old woman who has been more socially withdrawn lately and told her daughter she had not been feeling well. While shopping for groceries with her daughter she became separated from daughter in the aisles. She became confused and angry when store employees and others tried to assist her. It is now 30 minutes later.
The daughter has noticed increased anxiety and confusion in her mother on several occasions
No personal or family history of psychological illness
Head CT scan showed one small capsular infarction, no mass lesions or edema, and no hydrocephalus
No significant abnormalities noted in chemistry, hematology, and metabolic screens
MMSE findings of impairment of memory and three other cognitive areas
Geriatric Depression scale (GDS) positive for memory difficulty, disrupted sleep-wake cycle, apathy, increased dependence (classic for Alzheimer disease)
Is this Alzheiner Dimentia or TIA
Explanation / Answer
yes this is Alzheiner Dimentia
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