He does not answer questions about urine or stool. For more information on dizziness and weakness see the Interactive Teaching Module by Douglas Fridsma, MD of the University of California San Francisco Division of General Internal Medicine. A thorough review of systems in a geriatric patient is extremely important, but in many cases, such as Mr. McCann's, the physician might not be able to obtain it. In such cases, the medical record and physical exam become paramount. The weight of the brain also declines with age.
Cortical atrophy is present in normal aging.
Brain proteins involved in metabolism and neurotransmitting activity generally increase with aging. On the secondary survey , the ER physician is unable to see the disc on funduscopic exam due to white clouding of the left eye. Both TM cannot be seen due to cerumen impaction. There is a right carotid bruit. Posterior pharynx is in good color.