uk-dgm MCQ (SBA): Delirium Superimposed on Dementia

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ModerateDeliriumDelirium Superimposed on Dementiauk-dgm

A 79-year-old man with known vascular dementia is admitted with acute-on-chronic confusion. His baseline MMSE was 16/30 four months ago. Today his 4AT score is 6. His wife says he has been more confused than usual for 2 days. He has a temperature of 37.9°C, and urine dipstick shows leucocytes +++ and nitrites ++. What is the MOST accurate description of his clinical presentation?

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uk-dgm MCQ: Delirium Superimposed on Dementia — Answer & Explanation |