ABSTRACT
History An 82-year-old woman is transferred to A&E in a confused state and unable to cope at home. She lives at home with her husband, aged 86 years, who reports that his wife has been increasingly unwell over the previous 10 days. Her symptoms are non-specific. She has not been eating well because of nausea, has been relatively immobile and now seems unaware of her circumstances and is unable to dress herself.
