|Methods: In a geriatric clinic all patients received a sonography of the abdomen and thorax on admission. All resulting consequences were documented. Results: In 20% of cases further diagnostics followed based on the findings in the initial scan, which often included ultrasound monitoring, but also led to laboratory and microbiological tests and the insertion of permanent urinary catheters. Rarely x-rays were induced. Summary: The results support the demand for the implementation of an abdominal ultrasound as part of regular medical assessments of all geriatric patients.