(N = 190, 9.9%)
Gastritis (64), Worm infestation (41), Peptic
ulcer (20), Ankylostomiasis (12) and Gastro enteritis (16)
were the predominant ones.
(N = 160, 8.1%)
Among the psychiatric diagnosis, Depression
accounted for 133 cases (Endo- genous, Reactive, Masked etc.).
There were 3 cases of Dementia. Two had Delusional parasitosis
and a solitary case of hypomania was come across.
The prevalence of psychiatric morbidity confirms
the earlier observation of Venkoba Rao and Madhavan (1982)
on the geropsychiatric morbidity survey in a semiurban area
near Madurai. They estimated it to be 87/1000 with depression
accounting for 60/1000.
= 156, 8.2%)
Otosclerosis and Presbyacusis accounted for
59 and 52 cases respectively. There were 19 with nerve deafness.
(N = 66, 3.5%)
Benign prostatic hypertrophy and haemorrhoids
were encountered in 24 cases each, and Urinary tract infection
was noted in 10 subjects.
The following tumours were encountered :
Lipoma 13; Papilloma 1; Benign nodular goitre 10; Multinodular
goitre 2; Dermoid cyst 2; Leukoplakia vulva 1; Leukoplakia
cheek 1; Leukoplakia oral cavity 2; Haemangioma 2; Carcinoma
Penis I; Carcinoma cheek 2; Carcinoma breast 1; Carcinoma
endometrium 1; Carcinoma cervix 3; Carcinoma larynx 1; Carcinoma
thyroid 1; 1 Bladder carcinoma; Melanoma face 1; Cystic hygroma
Twenty-one cases were diagnosed as Diabetes
Multiple diagnoses is a common clinical experience
in geriatric medicine. In terms of clinical diagnoses, 76.5%
(N = 1460) had 2-3 clinical diagnoses while 16.5% (N = 316)
had 4 or more diagnoses. Single diagnosis was encountered
in 6.8% (N = 131). While physical illness alone was
observable in 91.4% (N = 1747), psychiatric illness alone
was observable in 0.3% (N = 5). A combination of psychiatric
and physical illness was arrived at in 8.1% (N = 155). It
is thus evident that psychiatric illness in the elderly cannot
be considered apart from physical illness. Three subjects
were without any clinical diagnosis.