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Old and elderly imply different things to me. Elderly certainly has an implication of frailty about it. My dad is 'old' (mid 60s), but I'd not call him elderly. His mum is late 90's, can hardly see or hear and walks with the aid of a 'wheely walker'. She is definitely elderly.
As others have said, context for 'old' is important.
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who hid my keyboard's PANIC button?
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