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New content in the Merck Manual, 19th Edition 10 interesting facts
Malaise, loss of appetite, or confused with pneumonia in elderly patients.
On average, elderly patients 6 diagnosis of the disease, some primary care physicians often do not know. Organ system disease can weaken another system, exacerbating the deterioration of both sides, resulting in disability, dependency, without intervention, death.
30-40 percent annually for the elderly living in the community fall of 50% decline in nursing home.
Sputum color (such as yellow, green) and the thickness is not conducive to the other reasons to distinguish between bacterial etiology of chronic cough.
Dyspnea severity is not always proportional to the severity of the reason (for example, in an appropriate, healthy person, may lead to pulmonary embolism only mild dyspnea).
Although angina between felt ears and navel (usually in the chest), it usually is always pressure on the physical or emotional, that is to say, the patient will not encounter from one day to climb one flight of stairs to angina and tolerate 3 flights the next day.
Palpitations are not a reliable indicator of significant arrhythmias, palpitations patients with structural heart disease or ECG abnormalities may be a serious problem, and to ensure that the investigation of a flag.
Syncope precipitated unpleasant physical or emotional stimulus (such as pain, fear) often occurs first, in an upright position, nausea, general weakness, yawning, anxiety, blurred vision, sweating that vasovagal neurally mediated syncope.
The history of oil droplets in the stool, especially if accompanied by weight loss, indicating that malabsorption.
Pupil size difference is in the dark, miosis abnormal pupil size difference is greater light, the large-scale student is not normal.
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