He rapidly forgets the names of people, names of items, dates, and amounts of money. He denies trouble with routes to places, misplacements, spatial and temporal disorientation, or forgetting procedures. He has not been observed to be impulsive, but his wife reports some emotional lability and increased frustration over his difficulty with communication. He acknowledged problems with a depressed and anxious mood, but denied vegetative symptoms of depression. He continues to drive in his local area.
Review of systems is negative for nausea, vomiting, anorexia or weight loss.
Positive for cardiac disease in his father who died at age 75. No history of speech impairment or progressive dementia in the family. No other known neurologic conditions. He is divorced, and resides with a female companion in a trailer home. He was educated through the seventh grade and was employed as a machinist prior to his retirement.