Hip fracture and multiple unstable comorbidities in an octogenarian - a conundrum for surgery Prepared by: Dr Sofiatulakmal binti Ashari Supervised by: Dr Yusliza Azreen binti Mohd Yusoff Puan Z, an 82-year-old lady with Type 2 Diabetes Mellitus, Hypertension, Dyslipidaemia, and Ischaemic Heart Disease complicated by Non-Valvular Atrial Fibrillation; on Apixaban, Bisoprolol, and Frusemide had multiple admissions in 2025 for acute decompensated heart failure, predominantly precipitated by...

The Last Chapter: Planning the END, Leaving in PEACE Prepared by: Dr Sharalaa Devi Engatramana Supervisor: Dr Loh Siew Ping Location: Hospital Tengku Ampuan Rahimah, Klang Case 1 Madam SG is a 74-year-old Indian woman who has been a nursing home resident since 2020. She has a Clinical Frailty Scale (CFS) score of 7, with a background history of advanced Alzheimer’s disease with behavioural and psychological symptoms of dementia (BPSD) Stage 7C, as well as diabetes and hypertension. She has...

Title: Beyond the Bedside: A Comprehensive Approach to Geriatric Multimorbidity and Carer Well-Being Prepared by: Dr. Ng Tyng Sam Supervised by: Dr. Ng Chai Chen Madam LYK, 75 years old Chinese lady with multiple comorbidities and complex medical needs. Comorbidities 1. Hypertension 2. Chronic kidney disease stage 3B 3. Ischemic heart disease with atrial fibrillation and HFpEF 4. Chronic polyarthropathy –related musculoskeletal pain History of treatment for presumed gouty arthritis at a...