Doctors have a very important role in public safety by ensuring that patients understand their medical condition may impair their ability to drive. The aim of our study was to determine whether appropriate driving advice based on national…

There is a lack of literature specifically exploring the management of fractured neck of femur patients who may have palliative care needs for illnesses besides malignancy such as those with end stage dementia. Patients with dementia are…

The number of older people having surgery is increasing and geriatrician involvement is being increasingly sought. This article uses guidance from the European Society of Cardiology1 and the American College of Cardiology to provide a…

The SPECAL (Specialised Early Care for Alzheimer's) method aims to give patients with dementia a feeling of being in control and being able to make decisions which are carried out. It incorporates a number of core tools and best practice…

Metastatic bone disease is a common cause of pain and disability for patients with advanced cancer. Early detection and appropriate management can limit pain, reduce disability and prevent complications such as hypercalcaemia, pathological…

A significant proportion of older mental health patients will need to be transferred to a district general hospital for assessment and treatment of comorbid physical conditions. What is the best way to do this?

Charles Bonnet Syndrome (CBS) may be defined as the presence of visual hallucinations in the absence of mental illness, associated with deterioration in visual acuity. The underlying pathophysiology of CBS is poorly understood; partly due…

Many patients with dementia will in the later stages develop distressing behavioural symptoms. Antipsychotics are commonly used to treat this; however, as a class have been associated with serious adverse events in this vulnerable…

Migraine is a common complaint in all age groups, but the diagnosis and treatment in an older population require special consideration.

Leukaemia encompasses a group of malignant disorders of haemopoietic tissues associated with increased numbers of primitive white cells, initially within the bone marrow and then spilling into the peripheral circulation. This review will…

Transient global amnesia is widely regarded as one of the most remarkable neurological conditions in terms of its history, symptoms and signs. It presents classically with a sudden onset of severe anterograde amnesia. We describe here the…

Chronic pain is a frequent health problem in the elderly and is not part of the normal ageing process. The prevalence levels range between 45% and 80% in line with an age-related increase in patient comorbidity.

The burden of musculoskeletal foot pathology in the general population is frequently trivialised but causes patients signifcant impairment. This article aims to give clinicians who don't specialise in the foot, a basic understanding of how…

Movement disorders are encountered in all areas of medical practice and are generally associated with disorders of the basal ganglia. Tey can be broadly classifed into conditions with increased or paucity of movement, the former comprising…

Hyperhidrosis is a condition characterised by abnormally increased sweating, in excess of that required for regulation of body temperature.