Medicine and Surgery

Page 189

172 Care of elderly people

Full neurological assessment: searching for evidence of cognitive dysfunction and other CNS diseases, such as stroke, Parkinson’s disease, spinal cord disease, autonomic dysfunction. Locomotor examination.

INVESTIGATIONS Simple, focused investigations in response to the ďŹ ndings on history and examination, including: Urinalysis MSU Measurement of residual volume (by catheterization or ultrasonography) Capillary glucose Plasma urea creatinine and electrolytes Plain radiograph of kidneys, ureters and bladder (for renal/bladder stone).


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