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© 1986 Oxford University Press

research-article

THE ROLE OF CHEST RADIOGRAPHY IN THE EVALUATION OF THE ‘GERIATRIC GIANTS’

J. A. H. PUXTY, Lecturer and K. ANDREWS, Senior Lecturer

University Department of Geriatric Medicine, Clinical Sciences Building, Hope Hospital Eccles Old Road, Salford M6 8HD

Three hundred and eighty admissions to a geriatric assessment unit had a routine chest radiograph. Forty-four per cent presented atypically with one or more of Isaacs' ‘geriatric giants’—falls, immobility, incontinence or deteriorating mental function. The chest radiograph was abnormal in 164 (44%), of whom 57 had no classical clinical cardiopulmonary features. The chest radiograph was especially useful in the investigation of the geriatric giants, where 22% had evidence of cardiopulmonary disease, in the absence of classical clinical features.

accepted in revised form December 12, 1985.


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