Assignment Question
Mr Zabbar, aged 78 years, a retired teacher, is brought to your surgery by his wife, Lin. She is worried about her husbands forgetfulness which was noticed 5 months ago. He keeps on losing his wallet and keys and sometimes forget to turn off the taps after his bath. He also faces difficulty in handling his finances. He used to play tennis before, and as age catch up with him, he frequently watches his favourite sports on television but not anymore and seems to be losing interest. His wife brings him regularly for the follow-up to see you for his Hypertension and Diabetes. He tends to be non-adherent to his medications and need to be reminded to take them all the time.
On examination, Mr Zabbars BP is 170/80mmHg, and his random blood sugar is 8.0mmol/L. You do a thorough examination, including MMSE and his score is 20/30.
What is the most likely diagnosis? 2 marks
What criteria need to be fulfilled to make the diagnosis? 4 marks
What are the important approaches in the management of Mr Zabbar? 10 marks
What impact would the diagnosis have on Mr Zabbar? 4 marks
