This book has two main purposes: formative case analysis and
self-assessment of medicine in old age. It presents clinicians with
a series of cases on which to base discussion of the investigation
and management of patients. It also provides the trainee, or
established doctor, with a medium to help prepare for post-graduate
examinations and clinical practice. The authors have chosen 109
cases, a total of 250 questions/answers, illustrated by color
photographs, diagrams, and tables. The cases cover the main modes
of presentation of acute illness in old age, such as fall,
confusion, incontinence, weight loss and immobility, with examples
from all the major systems. These illustrate the complexity of
diagnosis and treatment of medical illness in frail older people
and the need to think widely and laterally when caring for such
patients. The questions are mostly in best-of-five format to
reflect the current style of multiple choice questions used in
examination, though some are open questions as the basis for
tutorials. Many of the clinical stems have been expanded to improve
the educational function of the book and to test more rigorously
the reader's deductive thinking.
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