TY - CHAP M1 - Book, Section TI - Atypical Presentations of Illness A1 - Goldrich, Michael A1 - Shah, Amit A2 - Walter, Louise C. A2 - Chang, Anna A2 - Chen, Pei A2 - Harper, G. Michael A2 - Rivera, Josette A2 - Conant, Rebecca A2 - Lo, Daphne A2 - Yukawa, Michi Y1 - 2021 N1 - T2 - Current Diagnosis & Treatment Geriatrics, 3e AB - Traditional education of clinicians hinges on typical presentations of common illnesses. The teaching of these classic presentations influences clinicians’ “illness scripts,” or preformed outlines on how a patient should present with a particular disease. Yet, what is often left out from medical training is the frequent occurrence of atypical presentations of illness in older adults. These presentations are termed atypical because they lack the usual signs and symptoms characterizing a particular condition or diagnosis. In older adults, so-called “atypical” presentations are actually quite common and can range from one-fifth to one-half of all presentations. For example, a change in behavior or functional ability is often the only sign of a new, potentially serious illness. Failure to recognize atypical presentations may lead to worse outcomes, missed diagnoses, and missed opportunities for treatment of common conditions in older patients. As in other illnesses, some of the reasons for delayed recognition may also be caused by social factors, such as lack of caregiver, lack of transportation, the fear of being hospitalized, and the risk of losing independence. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180014634 ER -