I have a patient who has had a severe decline in memory within the last 5 months. He has gone from being able to come and go as he pleases, driving a car, walking without any assistance and minimal assistance with ADL s to getting lost very easily, not remembering where he lives or where his room is, constantly asking what he needs to do next, walking with a walker (most of the time forgetting to put his shoes on), having increased anxiety as well when he believes he can t remember anything, and episodes of incontinence (urine and stool). The only other medical symptoms he had experienced since this has begun is a rash on his lower back(which went away with elocom cream), incontinence (negative chemstrip) and recently increase in thirst, asking very often for water.