Make the Diagnosis: Decision Confusion

(MedPage Today) — Case Findings: A 73-year-old male retired attorney presents with a history of memory loss and behavior changes. Personality changes include increased impulsivity, episodic anger, and a decline in personal hygiene. On testing, the patient spontaneously recalls one of 16 items after a 20-minute delay, but recalls 11 when provided with prompts. He takes the Pillbox Test, a neuropsychological test of executive function. The test has five fake prescriptions and the patient is to put the ‘pills’ in the medication organizer according to the instructions on the bottles. The patient makes multiple errors of omission and commission. In addition, the patient undergoes the Tinkertoy Test, in which he is asked to build something that he only describes afterwards as “a thingy. What is your diagnosis?
via Make the Diagnosis: Decision Confusion
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