Scenario: You are the SpR in the memory clinic. You are seeing Steve, the son of Mrs Joan Whitaker, an 82-year-old retired librarian. Mrs Whitaker was referred by her GP following concerns about memory problems and confusion over the past 14 months. ACE-III score last week was 68/100 (attention 12/18, memory 16/26, fluency 8/14, language 24/26, visuospatial 8/16). MRI brain showed generalised atrophy with no focal lesions or significant vascular disease. Blood tests including TFTs, B12, FBC, CRP and glucose were normal.
Please take a collateral history from Steve regarding his mother’s presentation.
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Disclaimer: This video is intended for educational purposes only, targeted for the CASC exam – taken by psychiatry UK trainees in order to achieve membership of the Royal College of Psychiatrists. It should not be taken as clinical guidance or advice. It is also not intended to be an accurate portrayal of a real psychiatry consultation. For those revising for the CASC exam, this video should be used as a guidance and does not necessarily depict a gold-standard approach. Depending on when this video is viewed, information may be outdated.
Video Contributors:
Dr Leola Foscoe is a Psychiatry Speciality Registrar, specialising in Older Adults Psychiatry.
Dr Damir Rafi is a Psychiatry Speciality Registrar in Forensic Psychiatry, currently working in London.