Examination and simple tests for older patients with immobility, falls or acute confusion
General appearance | Evidence of not coping at home |
Parkinsonian features eg rigidity, tremor | |
Depression | |
Thyroid status | |
Flushed, pyrexial | |
Cardiovascular | Pulse including peripheral pulses |
Lying and standing blood pressure | |
Source of emboli—heart rhythm, murmurs, and bruits | |
Neuromuscular system | Lateralizing signs |
Parkinson’s disease | |
Proximal muscle weakness | |
Gait—Get up and Go test3 | |
Abdomen | Masses and constipation |
Infection | Chest auscultation |
Urine dipstick | |
Mental test score | Hodkinson AMT4 (see box 4) |
Tests | 12 lead ECG |
BM stix | |
Urine dipstick |