A 76-year-old woman is brought to the office by her daughter due to progressively worsening memory and language difficulties

A 76-year-old woman is brought to the office by her daughter due to progressively worsening memory and language difficulties. The
patient first started having memory problems and word-finding difficulties 5 years ago She then began having difficulty balancing her
checkbook and buying groceries The patient became lost while driving to church last year and no longer drives. She is now
dependent on her daughter for cooking and cleaning Over the past 6 months, the patient’s personality has changed from seeming
apathetic to becoming more paranoid and agitated; she frequently claims to have seen her niece stealing from her purse The patient
recently developed urinary incontinence. She has a history of hypertension, hyperlipidemia, and osteoarthritis of the left hip and both
knees. Blood pressure is 130/80 mm Hg and pulse is 90/min. Deep tendon reflexes are 2+ throughout, and she has preserved motor
strength. The patient recalls none of 3 objects on memory testing and cannot draw a clock. Laboratory studies show normal
electrolytes, lipid panel, TSH, vitamin B12 , and complete blood count Which of the following is the most likely diagnosis?

  • QA Alzheimer disease
  • 0 B. Dementia with Lewy bodies
  • 0 C. Frontotemporal de􀁬ntia
  • 0 D. Normal pressure hydrocephalus
  • 0 E. Vascular dementia

0 voters

Key A