The Upholding of the No- A broken toenail to the end of life Prepared by: Navena Sharma Supervisor: Dr Yusliza Azreen Case Summary Madam M, a 71 year old lady with diabetes mellitus, hypertension, and significant vascular comorbidities, had a history of right below knee amputation (2020) and lacunar infarct (2022) without residual neurological deficit; clinical frailty scale of 6. Wheel chair bound since her amputation, she required assistance with transfers and showering but

Headache in Parkinson Disease – An Out-of-the-Box Approach Prepared by: Dr Loganayagee Subramaniam Supervisor: Dr Goh Cheng Beh, Dr Tan Hui Loo Madam A, an 84-year-old Chinese lady with multiple comorbidities was admitted on 21/2/2026 with generalized body weakness, loss of appetite, and shortness of breath for one week. Comorbidities: 1. Hypertension 2. Parkinson’s disease 3. Major neurocognitive disorder (mixed AD + VAD / Parkinson disease dementia with BPSD) 4. Osteoporosi

Balancing Acute Complications and Chronic Care: The Challenges of Optimizing Perioperative Management for Older Patients with Multiple Comorbidities Prepared by: Dr Jeannie Phang Yik Tien Supervised by: Dr Elizabeth Chong Gar Mit Madam SA, a 72yearold Indian lady with multiple comorbidities and a Clinical Frailty Score (CFS) of 4, presented to the emergency department with right hip pain following a fall on a slippery floor. She sustained a right neck of femur fracture. Comor