Geriatric syndromes

An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…

Clinical rotations · common

An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…

Clinical rotations · middle twist

A 79-year-old woman lives alone in the house she owns. She tells the general practice registrar that her grandson shouts at her when he visits and has twice sho…

Pre-internship · middle twist

An 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…

Clinical rotations · common

An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…

Clinical rotations · middle twist

A 78-year-old woman is brought by her daughter because over eighteen months she has become slower at finding words and repeatedly mislays her keys. She still dr…

Clinical rotations · middle twist

A 79-year-old woman is brought to the emergency department at 2 am by police, having been found walking along a main road in her nightdress. She is pleasant and…

Pre-internship · middle twist

An 84-year-old woman is brought to the emergency department after tripping on a rug at home. Radiographs of her wrist and hip show no fracture. She has not been…

Clinical rotations · common

An 82-year-old woman has fallen twice since her medicines were changed. She is slower when walking and has recently complained of constipation, blurred vision a…

Pre-internship · common

A 74-year-old man is referred after three falls over two months. He describes a brief feeling of faintness after rising from a chair, without spinning sensation…

Clinical rotations · common

An 82-year-old woman is assessed after falling in her kitchen. She remembers reaching for a shelf but denies spinning, loss of consciousness, palpitations or li…

Clinical rotations · common

An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…

Clinical rotations · middle twist

A 91-year-old man with moderate dementia is admitted after a fall and has developed new agitation overnight. He is afebrile, oxygen saturation is 96% on room ai…

Clinical rotations · common

An 88-year-old woman has a dry, adherent black eschar covering the heel. The surrounding skin is warm but not erythematous, there is no drainage or fluctuance,…

Clinical rotations · common

A 79-year-old woman with limited mobility has a sacral ulcer measuring 5 cm in diameter. The ulcer extends through the dermis, with visible subcutaneous fat and…

Clinical rotations · common

A 76-year-old man with probable dementia with Lewy bodies has recurrent visual hallucinations that are frightening but not associated with aggression or immedia…

Clinical rotations · middle twist

A 79-year-old man has taken diazepam 5 mg nightly for 10 years and wants to stop because of morning unsteadiness. He has no seizures, severe anxiety disorder or…

Pre-internship · common

An 82-year-old man has had two falls since his blood pressure treatment was intensified. His seated blood pressure is 138/72 mmHg, falling to 108/60 mmHg after…

Clinical rotations · common

A 78-year-old woman is assessed after three falls over 2 months. She has not sustained a major injury and denies a clear loss of consciousness. Her medicines in…

Clinical rotations · common

An 82-year-old patient who was bedridden after major orthopedic surgery developed an ulcer over the sacrum. On examination, there’s an ulcer with full-thickness…

Clinical rotations · middle twist