A 76-year-old male with a history of cerebrovascular disease presents to his primary care doctor for a 6-month history of increasing forgetfulness. He notes that he often forgets w... A 76-year-old male with a history of cerebrovascular disease presents to his primary care doctor for a 6-month history of increasing forgetfulness. He notes that he often forgets what he has eaten for breakfast and where he places his shoes. His speech patterns have not changed, and he performed well on a cognitive test last year. What is the next best step in management?
Understand the Problem
The question describes a 76-year-old man with a history of cerebrovascular disease and increasing forgetfulness. It asks for the next best step in his management based on his symptoms and medical history. The options provided suggest different diagnostic or management approaches related to his cognitive changes.
Answer
Routine MRI to evaluate for possible worsening of cerebrovascular disease.
The final answer is a routine MRI to evaluate for possible worsening of his cerebrovascular disease.
Answer for screen readers
The final answer is a routine MRI to evaluate for possible worsening of his cerebrovascular disease.
More Information
Given his history of cerebrovascular disease and recent memory issues, an MRI can help assess any changes in the brain that could explain his symptoms.
Tips
A common mistake is not considering the patient's medical history and its potential impact on current symptoms.
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