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Geriatric Medicine

Non-traumatic persistent neck pain

Joint disease accounts for over half of all chronic health problems in the over 65 years group. In Europe chronic neck pain afects between 10€“20% of the population. In North America about 5% of the general population of all ages is…

Post-stroke epilepsy

This article discusses the current understanding of epidemiology, pathogenesis, clinical features, diferential diagnoses and diagnostic studies of post-stroke seizures and epilepsies with an emphasis on the current recommended treatments,…

Leukaemia

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…

Caring for the vulnerable

Elderly people can now be found exploring the Amazon, visiting polar regions, climbing to high altitude and adventuring into remote parts. They indulge in active leisure time activity and participate in white water rafing, para-gliding,…

Should doctors go on strike?

Doctors are to strike for 24 hours in protest against the Government's controversial pension reforms on June 21. This will be the frst time since 1975 that doctors have striked and may be followed by further industrial action.

Protecting dignity

Doctors must cease protecting dignity, and strive to enhance it. Tis is critical amongst our elderly patients, who are the most vulnerable yet stand to gain the greatest beneft, both psychologically and physically. For too long the…

Benign prostatic hypertrophy

Clinically the prevalence of signifcant lower urinary tract symptoms and/or poor flow rises from around 13% in the 5th decade of life to between 28€“43% by the 7th and 8th decades of life. Histologically, benign prostatic hypertrophy is…

A rare cause of bleeding

AHA is a rare autoimmune bleeding disorder characterised by IgG antibodies to coagulation factor VIII. It is a disease of the elderly and often presents with life-threatening or widespread subcutaneous bleeding. Management should always be…

Autonomy in assisted suicide

Assisted suicide is a topical issue. Autonomy plays a central role in arguments for and against assisted suicide. The Kantian and Millean views of autonomy greatly infuence our thinking of this area in assisted suicide. An understanding of…

Assessment of a confused patient

Delirium is common in both general and hospital practice. It ofen goes unrecognised and can be poorly managed. Early diagnosis and skilled assessment of patients with delirium enables prompt management and improves prognosis. This article…

Movement disorders

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…

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