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The most immediate task is to consider whether the symptoms are merely the nonspecific signals of a systemic disorder or reflect intrinsic neurologic disease. Pain, headache, nausea, dizziness, fatigue, and weakness all lack specificity until taken in context with the rest of the history and physical findings; as often as not, such symptoms can reflect the emotional ravages of disturbed psychologic adjustment.
“Ball players, soldiers, sailors and many others look on stress with such exuberance that their hormonal and neural responses must be different from those of the more sedentary who might look with anxiety or loathing on the same activity.
But old age, the time of life that nineteen-century British prime minister Benjamin Disraeli labeled “a regret”, is as often feared as it is misunderstood.