ABSTRACT

This chapter provides a case of a 76-year-old retired surveyor who is gradually stopped reading and writing, both activities he used to enjoy. He has a tendency to repeat things many times during the day, apparently unaware that he has mentioned them earlier. He has more difficulty putting sentences together, and forgets the names of common objects such as the radiator and the radio. Mental state examination shows that he has good eye contact and sits still in a chair throughout the interview. His speech is slightly laboured and on several occasions he seems to struggle to find the right word. None of his sentences are long or complex. Physical examination is unremarkable, including neurological examination, and he is well nourished. He has some mild eczema. The Mini Mental State Examination (MMSE) is a 30-item questionnaire that tests for orientation in time and place, attention, registration, recall, arithmetic skills, expressive and receptive language and motor skills.