Clinical issues - non-specific presentations of disease in older patients

Overview

Older patients, particularly those who are frail, frequently present with non-specific symptoms (falls, delirium, functional decline, "not coping") rather than the classic textbook presentation of the underlying disease - a core diagnostic challenge in geriatric medicine
A substantial proportion of serious illness in frail older adults (sepsis, MI, PE, acute abdomen) presents atypically, without the classic symptom the diagnosis is "supposed" to produce

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