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The importance of good history taking: a case report
- Source :
- Journal of Medical Case Reports
- Publication Year :
- 2015
- Publisher :
- Springer Science and Business Media LLC, 2015.
-
Abstract
- Introduction Early comprehensive geriatric assessment (CGA) with good history-taking is essential in assessing the older adult. Case presentation Our patient, a 75-year-old Caucasian woman, was originally admitted to hospital for investigation of iron deficiency anemia. During admission, she developed pneumonia and new intermittent atrial fibrillation in association with a right-sided weakness, which was felt to be new at the time. Following this episode, she was treated for a further chest infection and, despite clinical improvement, her inflammatory markers failed to settle satisfactorily. She was transferred to her local hospital for a period of rehabilitation where further neurological findings made the diagnosis of solely stroke questionable; these findings prompted further history-taking, investigations and input from other disciplines, thereby helping to arrive at a working diagnosis of vasculitic neuropathy. Conclusions The case aims to highlight the importance of taking a good history and performing an early comprehensive assessment in the older adult.
- Subjects :
- Weakness
medicine.medical_specialty
Neurological examination
medicine.medical_treatment
Case Report
Comprehensive geriatric assessment
medicine
Humans
Vasculitic neuropathy
Medical history
Diagnostic Errors
Older adult
Medical History Taking
Vasculitis, Central Nervous System
Intensive care medicine
Geriatric Assessment
Stroke
Aged
Medicine(all)
Rehabilitation
Anemia, Iron-Deficiency
medicine.diagnostic_test
business.industry
Public health
General Medicine
medicine.disease
Pneumonia
Iron-deficiency anemia
Family medicine
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 17521947
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Case Reports
- Accession number :
- edsair.doi.dedup.....a169781833b65c44c48febd404058112