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The Merck Manual of Geriatrics

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Edited by Abrams William B., Berkow Robert. . 1267 pages. Merck Sharp & Dohme Research Laboratories; , West Point, Pennsylvania: 1990.. $20.00.

Ann Intern Med. 1990;113(3):259. doi:10.7326/0003-4819-113-3-259_1
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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




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