The osmoreceptor function of six elderly patients of both sexes and of ages varying between 65 and 91 years has been investigated. It was observed that in three patients there was practically no osmoreceptor response to the challenge of fluid deprivation. In two patients the response was subnormal, and only one out of six cases showed a normal response. The clinical significance of these observations is discussed. As it is a pilot study, further work should be done in this field to clarify the matter.

This chapter on the care of older people contains five clinical Short Answer Questions (SAQs) with explanations and resources for further reading. Conditions such as delirium, falls, reduced mobility, elder abuse, and pressure ulcers can all result in a trip to the emergency department for those who are elderly, and it will be up to the emergency doctor to assess, diagnose, and decide upon a treatment path for each patient. The cases described in this chapter are all situations any emergency doctor is likely to encounter at some point in his or her career. The materials in this chapter will greatly aid revision for the Final FRCEM examination.

This chapter on obstetrics and gynaecology contains 13 clinical Short Answer Questions (SAQs) with explanations and sources for further reading. Possible disorders and accompanying symptoms of gynaecological origin that may present in the emergency department include ectopic pregnancy, pelvic inflammatory disease, and ovarian hyperstimulation syndrome, among others. It will be up to the emergency doctor to assess, diagnose, and decide upon a treatment path for each patient. The cases described in this chapter are all situations any emergency doctor is likely to encounter at some point in his or her career. The material in this chapter will greatly aid revision for the Final FRCEM examination.