question archive Case : 75-year-old male with memory problem 1) What is the CC in the case studies? What are important questions to ask the patients to formulate the history of present illness and what did the patients tell you? 2
Case : 75-year-old male with memory problem 1) What is the CC in the case studies? What are important questions to ask the patients to formulate the history of present illness and what did the patients tell you? 2
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Case : 75-year-old male with memory problem
1) What is the CC in the case studies? What are important questions to ask the patients to formulate the history of present illness and what did the patients tell you?
2. What components of the physical exams are important to review in the cases? What are pertinent positive and negative physical exam findings to help you formulate your diagnosis?
3. Which differential diagnosis is to be considered with each case study? What was your final diagnosis?
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Answer:
1.
CC: Memory problems
"Have you noticed any trouble with your memory?"
"How long have you been having problems with your memory?"
"Have you had any trouble keeping up with your finances or medications?" "Is he able to prepare his own meals?"
2.
Mini mental state exam or other neurocognitive assessment, Complete neurological exam, Depression screening
The positive exam findings included: Patient’s physical exam is normal except for his Get Up and Go test. A normal time ranges from 8-12 seconds. Patients who take greater than 14 seconds to complete this are at higher risk for falls.
3.
Differential diagnosis to be considered in this case are: Major neurocognitive disorder (Dementia), Increased risk for falling and Depression. The final diagnosis of Major neurocognitive disorder (Dementia) (Goolsby & Grubbs, 2015).
