A 76-year-old Caucasian male with a history of cerebrovascular disease presents to his primary care doctor for a 6 month history of increasing forgetfulness. He notes that within t... A 76-year-old Caucasian male with a history of cerebrovascular disease presents to his primary care doctor for a 6 month history of increasing forgetfulness. He notes that within the last 6 months, he has noticed that he occasionally forgets what he has eaten for breakfast a few hours after consuming it. He has no recent history of movement abnormalities and notes that his speech patterns have not changed; he performed well on a Folstein Mini Mental Examination last year and feels that his cognition has not diminished. He no longer drives himself on errands, and he remembers his medication list with no problem. His vitals are unremarkable, and his routine labs were within normal limits. Which of the following is the next best step in management?
Understand the Problem
The question describes a clinical scenario involving a 76-year-old male patient experiencing forgetfulness and is asking for the next best step in management. The options provided involve different diagnostic and management strategies, indicating a need for knowledge in medical diagnosis and treatment.
Answer
Routine MRI to evaluate for possible worsening of his cerebrovascular disease.
The final answer is 'Routine MRI to evaluate for possible worsening of his cerebrovascular disease.'
Answer for screen readers
The final answer is 'Routine MRI to evaluate for possible worsening of his cerebrovascular disease.'
More Information
Evaluating for potential cerebrovascular changes is important, given his history. An MRI can help assess changes such as silent strokes or other vascular pathology that might impact cognitive function.
Tips
A common mistake is overlooking the significance of cerebrovascular disease in cognitive decline without clear symptoms.
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