Roger Y.M. Wong, BMSc, MD, FRCPC
Division of Geriatric Medicine, Department of Medicine, University of British Columbia, Vancouver, BC
Together with history taking, physical examination plays an integral part in formulating clinical diagnoses in the elderly patient. While the task of conducting a detailed and proper physical examination in a patient aged 65 years or above may appear daunting at first glance, we should remember that the technical aspects of the physical examination are almost identical to those used in the adult patient. The real challenge comes when we have to interpret the clinical meaning of physical findings identified in the elderly, especially when we have to differentiate between age-related changes and disease-specific changes of different organ systems. This article will highlight the common changes observed in the examination of the cardiovascular system in the elderly patient. As always, every patient encounter is a unique experience, and the relevant physical findings should be interpreted within the clinical context of the patient.
Before we begin to examine the cardiovascular system in the elderly, we must first ensure that the patient is comfortable. Good bedside manner, such as proper draping, is just as important in those above 65 years old as in their younger counterparts.
