A 73 year old man is brought in by his wife with concerns about his worsening memory. He is a retired engineer who has recently been getting lost in the neighborhood where he has lived for 30 years. He has been found wondering and has often been brought home by neighbors. When asked about this, he becomes upset and defensive and states that he was just trying to get some exercise. He has trouble dressing himself and blancing his checkbook. A physical examination is unremarkable, except that he scores 12 points out of 30 on the Mini Mental Status Examination, a test of cogntive function. A metabolic workup is normal. A computed tomography scan of the head shows generalized brain atrophy, though perhaps only what would be expected for his age. He is diagnosed with dementia, likely from Alzheimer’s disease.
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