Wayne Alcorn is a seventy-two year old gentleman who has led an active life and is involved in community activities. If a neighbor needed a hand, Wayne was the first to help. He was especially well known for his volunteer work at the hospital's cancer center where he served both snacks and a kind word to patients in the infusion unit. He is brought to the emergency room due to an episode of unexplained loss of consciousness. His wife shares that Wayne has experienced transient episodes of loss of consciousness, repeated falls, and fainting spells over the past year but nothing like what brought him to the ER. A thorough work up found no evidence of heart disease. However in the ER he was found to have dizzy spells on standing up and urinary incontinence. What would be the best provisional diagnosis to consider for Wayne?
A)New onset seizure disorder
B)Possible neurocognitive disorder due to Lewy bodies
C)Possible neurocognitive disorder due to Alzheimer's disease
D)Cerebrovascular Disease

Question

Quizplus · Accepted Answer

Wayne's symptoms, including transient episodes of loss of consciousness, repeated falls, fainting spells, dizzy spells upon standing, and urinary incontinence, with no evidence of heart disease, suggest a possible neurocognitive disorder due to Lewy bodies. These symptoms align with the autonomic dysfunction and transient loss of consciousness often seen in Lewy body dementia.

Wayne Alcorn Is a Seventy-Two Year Old Gentleman Who Has