History of benign hypertension-psoriasis-allergic rhinitis

Reference no: EM133725761

Question

A 64-year-old woman works as a professor at a local college and has a doctorate in mathematics. She has a history of benign hypertension, psoriasis, and allergic rhinitis, and she takes lisinopril, fluticasone, and uses topical clobetasol. Her husband and adult children have noticed that she has become for forgetful, and she herself is worried that her "mind is going." Initial laboratory studies, including thyroid and vitamin b12 testing, are unrevealing. On a Montreal Cognitive Assessment with her primary care physician she has a score of 26. She and her family are not comforted by that "normal" score and are wanting to pursue further diagnostics. Her husband asks about chronic Lyme disease as a cause of "brain fog." The most appropriate next step would likely include ?

Reference no: EM133725761

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