This week’s Aquifer discussed a 72-year-old male patient with Alzheimer’s dementia. He has a medical history of COPD

This week’s Aquifer discussed a 72-year-old male patient with Alzheimer’s dementia. He has a medical history of COPD, hypertension, and moderate dementia. He presented with symptoms of increased confusion, nighttime restlessness, visual hallucinations, rapid breathing, and urinary incontinence for four days. During the office visit, the healthcare provider conducted the Montreal Cognitive Assessment (MoCA). His previous MoCA score was eighteen, but it dropped to twelve today. The patient was unable to maintain attention and was easily distracted during the physical examination. The primary diagnosis was a urinary tract infection, attributed to the recent onset of urinary incontinence. Other possible causes for his symptoms include a respiratory infection and an electrolyte imbalance.

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