05-21-2015, 05:29 PM
A 29-year-old man with a history of illicit drug abuse in the past presents with complaints of mild forgetfulness, social withdrawal, and difficulty concentrating. He has a good appetite and has not experienced alteration in his sleep cycle. His neurologic examination including his MMSE is completely normal. His girlfriend has commented that she has seen him stumble more frequently. What is the next step in evaluating this individual?
A. Obtain neuropsychologic testing to evaluate for personality disorder
B. Obtain an MRI of the brain
C. Obtain a stat lumbar puncture for CSF studies to exclude meningitis/ encephalitis D. Clinically observe and follow the patient
A. Obtain neuropsychologic testing to evaluate for personality disorder
B. Obtain an MRI of the brain
C. Obtain a stat lumbar puncture for CSF studies to exclude meningitis/ encephalitis D. Clinically observe and follow the patient