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Case ScenarioA 76-year -old man is brought to the primary care office by his wife with concerns about his worsening memory. He is a retired lawyer who has recently been getting lost in the neighborhood where he has lived for 35 years. He was recently found wandering and has often been brought home by neighbors. When asked about this, he becomes angry and defensive and states that he was just trying to go to the store and get some bread.His wife expressed concerns about his ability to make decisions as she came home two days ago to find that he allowed an unknown individual into the home to convince him to buy a home security system which they already have. He has also had trouble dressing himself and balancing his checkbook. At this point, she is considering hiring a day-time caregiver help him with dressing, meals and general supervision why she is at work.Past Medical History: Gastroesophageal reflux (treated with diet); is negative for hypertension, hyperlipidemia, stroke or head injury or depression
Discussion Questions
Question 1. Compare and contrast the pathophysiology between Alzheimer's disease and frontotemporal dementia.
Question 2. Identify the clinical findings from the case that supports a diagnosis of Alzheimer's disease.
Question 3. Explain one hypothesis that explains the development of Alzheimer's disease
Question 4. Discuss the patient's likely stage of Alzheimer's disease.
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