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Nonspecific Disease Presentation: The Emergency Department Perspective

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Abstract

Older patients SeeSeeNonspecific complaints (NSCs), older patients often present to the emergency department with nonspecific complaints (NSCs). In most cases, nonspecific complaints are caused by a variety of interacting underlying medical conditions. Nevertheless, analyses of the most common underlying conditions between several studies revealed a high consistency. NSCs are commonly caused by infections, water and electrolyte disorders, heart failure, anaemia, malignancies, and/or cognitive impairment. Because the underlying conditions are numerous, the diagnostic workup of patients presenting with NSCs is difficult. We show that classic diagnostic approaches such as history taking and physical examination in patients presenting with NSCs in the emergency department (ED) may not yield conclusive working hypotheses. To narrow down the wide array of differential diagnoses during workup, we propose to focus on the three most common groups of underlying conditions. Moreover, we provide some examples of group-specific characteristics.

Keywords

  • Emergency Department
  • Nonspecific Complaints (NSCs)
  • Patients Presenting
  • Underlying Conditions
  • Procalcitonin (Pro-CT)

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Fig. 8.1

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Correspondence to Alexandra Malinovska .

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Malinovska, A., Nickel, C., Bingisser, R. (2018). Nonspecific Disease Presentation: The Emergency Department Perspective. In: Nickel, C., Bellou, A., Conroy, S. (eds) Geriatric Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19318-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-19318-2_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19317-5

  • Online ISBN: 978-3-319-19318-2

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