29th April 2024

A 77-year-old female presents with worsening confusion and forgetfulness

A 77-year-old female presents with worsening confusion and forgetfulness. Her daughter is very concerned that she has been forgetting conversations and important dates. She has a past medical history of urinary incontinence, hypertension and osteoarthritis. She takes Regular paracetamol 1g QDS, Ramipril 2.5mg OD and Oxybutynin 3mg BD. Physical examination is normal, and she scores 22/30 on a MMSE. Blood investigations show no obvious cause for her symptoms. What is the most appropriate next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.