Phys Clinical Cases · geriatric
Orthogeriatrics and Perioperative Medicine in Older Adults — DCE Clinical Case
DCE long-case and short-case station for Orthogeriatrics and Perioperative Medicine in Older Adults.
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Orthogeriatrics and Perioperative Medicine in Older Adults — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Orthogeriatrics and Perioperative Medicine in Older Adults. [1]
Presenting complaint: Subacute or acute symptoms referable to Orthogeriatrics and Perioperative Medicine in Older Adults, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
References6ShowHide
- [1]Xu X, Wang Z, Zhao C, Fan H, et al. Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies Clin Interv Aging, 2026.PMID 42445619
- [2]Rao H, Luo L, Cheng J, Wu G, et al. Management of hip fracture in older adults with cognitive impairment: a narrative review Front Public Health, 2026.PMID 42145490
- [3]Ferrara MC, Remelli F, Trevisan C, Triolo F, et al. Association of pre- and postoperative delirium with functional status at discharge after hip fracture: findings from the Gruppo Italiano di Ortogeriatria (GIOG 2.0) study Eur Geriatr Med, 2026.PMID 41824264
- [4]Smolka V, Olotu C, Modreker M, Drebenstedt C, et al. Pain management in the perioperative orthogeriatric setting: Recommendations of the special interest group Orthogeriatrics of the German Geriatrics Society Z Gerontol Geriatr, 2026.PMID 41706125
- [5]Sacks B, Mughal HN, Ahluwalia A, Rudran B, et al. The BOAST recommendations for care of the older or frail orthopaedic trauma patient Br J Hosp Med (Lond), 2020.PMID 32730158
- [6]Lems WF, Dreinhöfer KE, Bischoff-Ferrari H, Blauth M, et al. EULAR/EFORT recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures Ann Rheum Dis, 2017.PMID 28007756