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Many internists continue to believe that the practice of geriatrics is no different than the practice of general internal medicine, that geriatrics is something they have been doing for years. Increasingly, the evidence is mounting that a special expertise is required in the care of elderly patients, especially the "old-old," those over 85 years of age. As this segment of the population rapidly increases in number, physicians are learning that significant differences exist between these patients and the usual patients under their care. For example, the diagnostic logic is different—the new onset of incontinence, for example, may have nothing to
The Merck Manual of Geriatrics. Ann Intern Med. ;113:259. doi: 10.7326/0003-4819-113-3-259_1
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Published: Ann Intern Med. 1990;113(3):259.
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