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Returning to dating as an older adult differential diagnosis

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Post-concussion syndrome

Professional Reference articles are designed for health professionals to use. You may find one of our health articles more useful. Gait abnormalities or unsteadiness are a common presenting complaint, especially in older patients. It may be a trivial complaint with no underlying pathology or herald a more serious illness. The concept of 'off legs' usually refers to elderly patients, who were previously mobile and active, with a sudden deterioration.

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Frailty is understood to be a clinical syndrome of dysregulation of energetics and multiple physiologic systems, with definable clinical manifestations that become apparent when physiologic dysregulation reaches a critical threshold. It has recognizable causes that are associated with altered physiology and that may be reflective of underlying alterations in genetic, cellular, and molecular processes. A validated frailty syndrome is manifested when multiple components are present: weakness, slowed walking speed, low physical activity, low energy or exhaustion, and weight loss. Consistent with the clinical definition of a syndrome, the whole is greater than the sum of the parts. Frailty identifies patients at high risk of adverse clinical outcomes, including falls, disability and dependency, and mortality. Frailty develops along a continuum of severity.

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Confusion in the elderly patient is usually a symptom of delirium or dementia, but it may also occur in major depression and psychoses. Until another cause is identified, the confused patient should be assumed to have delirium, which is often reversible with treatment of the underlying disorder. Causes of delirium include metabolic disorders, infections and medications. Thyroid dysfunction, vitamin deficiencies and normal-pressure hydrocephalus are some potentially reversible causes of dementia.

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Optic Atrophy

Non-Hodgkin lymphoma is a type of cancer that forms in the lymph system. The lymph system is part of the immune system. It helps protect the body from infection and disease.

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