Case of Jamal Jamal is a first grader in Town

HPI: Ms. Lorenzo is a 72-year-old female who is brought to your office by her son with reports of acute confusion (more than usual) and some agitation and restlessness. She has a known history of dementia, managed with Aricept 10 mg. daily. Her son and primary caregiver, Jack, reports that 2 days ago she began to become more confused than usual and very easily agitated. He reports that yesterday, she couldn’t remember where she was in her own home. She had a doctor’s appointment 3 days ago and her HCTZ (hydrochlorothiazide) was increased to 50 mg. due to increased blood pressure. Ms. Lorenzo’s last Mini-Mental State Exam (MMSE) score was 18/30. The assessment was repeated at her appointment 3 days ago, and the score remained unchanged. Ms. Lorenzo and her son deny her having any falls or contributing traumas recently. She denies any changes in diet or routine regimens. No reported dysuria, no fever, nausea, or vomiting. Note: Be sure to review the MMSE and how to interpret results (Mental State Assessment Tests). Make sure you present the patient’s score in your video presentation posted in discussion. Also review the Geriatric Depression Assessment (Geriatric Depression Scale [GDS]). Ms. Lorenzo is a 72-year-old female who is alert but easily distracted, at times, during today’s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hal

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