Comprehensive Geriatric Assessment

Question 1

What does a CGA entail?

Question 2

What is the difference between differential diagnosis and problem lists?

Answer 2

Problem lists essentially entails multiple problems and multiple differentials, and problems aren’t necessarily medical - this allows for problem prioritising

Question 3

How is the presentation of MI like in elderly patients?

Answer 3

While chest pain is a very prevalent symptom in younger patients with MI, 1/3 of MI in older patients do not present with chest pain;

rather, it might present like dizziness, delirium, collapse or breathlessness

Question 4

How would MI investigations differ in a younger/fit patient and a frail person?

Answer 4

Both would get bloods, ECGs and CXRs

Angiogram is done straight-away in a non-frail person, usually normal echo

Question 5

How does pathophysiology of sepsis differ in younger and older patients?

Answer 5

BP may drop early ()