Which of the following is the next best step in management for a 76-year-old male with a history of cerebrovascular disease who has increasing forgetfulness?
Understand the Problem
The question presents a case of a 76-year-old male with a history of cerebrovascular disease who is experiencing increasing forgetfulness. It is asking which management step should be taken next based on the presented symptoms and medical history, providing multiple options for consideration.
Answer
Conservative management and continue current medication.
The next best step in management is conservative management and continuation of the current medication regimen.
Answer for screen readers
The next best step in management is conservative management and continuation of the current medication regimen.
More Information
The patient has mild cognitive complaints without significant change in cognition or new symptoms, suggesting a conservative approach is suitable.
Tips
A common mistake is to overinvestigate with advanced imaging or genetic testing when symptoms are mild and unchanged.
Sources
- Assessing Cognitive Impairment in Older Patients - nia.nih.gov
- Cognitive Impairment After Ischemic and Hemorrhagic Stroke - ahajournals.org
- Vascular dementia: your questions answered - BHF - bhf.org.uk
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