Table 2

 Examination and simple tests for older patients with immobility, falls or acute confusion

General appearanceEvidence of not coping at home
Parkinsonian features eg rigidity, tremor
Thyroid status
Flushed, pyrexial
CardiovascularPulse including peripheral pulses
Lying and standing blood pressure
Source of emboli—heart rhythm, murmurs, and bruits
Neuromuscular systemLateralizing signs
Parkinson’s disease
Proximal muscle weakness
Gait—Get up and Go test3
AbdomenMasses and constipation
InfectionChest auscultation
Urine dipstick
Mental test scoreHodkinson AMT4 (see box 4)
Tests12 lead ECG
BM stix
Urine dipstick