[Anamnesis and examination of an elderly patient.]

Abstract

Based on their own clinical experience and literature data, the authors present the features of collecting anamnesis of the disease and examining elderly and senile patients. Practical methods of interviewing an elderly patient with age-related memory disorders (collecting an anamnesis of the disease at the same time as the anamnesis of life), hearing (being in the patient's field of vision, avoiding high tones in the voice, speaking clearly, slowly, in silence, the doctor's face should be clearly visible to the patient) are proposed. The article presents the features of collecting medical history from a patient with age-related psychological personality traits (rigidity of thinking, increased suggestibility, perception of existing symptoms as natural manifestations of aging). The deontological aspects of the relationship between a doctor and an elderly patient are considered. The age-related features of the physical examination of an elderly patient were noted: gait, speech, voice, anthropometric data, skin (senile keratomas, senile hemangiomas, senile purpura Bateman), senile pulmonary emphysema, senile heart, tense pulse, high pulse pressure, senile aortic stenosis, etc.). The features of interpretation of data from laboratory and instrumental research methods in geriatrics are indicated. Studying the propaedeutic foundations of geriatrics by doctors of various specialties will improve the quality of medical care for the elderly and senile.