Assess ischaemic heart disease help
A 78-year-old woman has been admitted
following a fall at home occurring while she
was hurrying to get to the toilet during the
night. She has a history of watery diarrhoea
over the last four weeks, passing loose
stools three to six times each day, including overnight. She has had several episodes
of associated faecal incontinence. Three
days prior to admission, she had a colonoscopy performed, which had not shown any
macroscopic abnormalities (biopsy results
awaited). Her GP had also sent a stool
culture one week ago which had also not
detected any abnormality. Blood tests show
that she is mildly dehydrated but otherwise
normal, including coeliac serology. Her
past history includes ischaemic heart disease, hypertension and a cholecystectomy
for gallstones. She takes aspirin 75 mg od,
simvastatin 40 mg nocte and amlodipine
5 mg od. She normally lives alone and is
independent in her personal care. Physical
A 73-year-old man has been admitted
due to a fall on the background of a general decline in his physical and cognitive
function over the last few weeks. His pas
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