GERIATRICS

Acute Vascular Insufficiency in the Elderly

Mar 11, 2017 by in GERIATRICS Comments Off on Acute Vascular Insufficiency in the Elderly

1. Organized chronic cardiac thrombus from atrial fibrillation 2. Subacute thrombus from ischemia endocardium of acute MI 3. Iatrogenic catheter-induced thrombus 4. Paradoxical embolism from DVT, multiple PE with patent…

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Extremity Injury

Mar 11, 2017 by in GERIATRICS Comments Off on Extremity Injury

Fig. 27.1 AP pelvis X-ray of a right displaced femoral neck fracture Plain radiographs with anteroposterior and lateral are sufficient to diagnose fracture in 98 % of cases. MRI is…

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Biliary

Mar 11, 2017 by in GERIATRICS Comments Off on Biliary

Fig. 12.1 Plain abdominal radiograph of a patient with gallstone ileus. Note the presence of pneumobilia depicted in the circled area. Gallstones may not be present due to lack of…

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Necrotizing Soft Tissue Infections

Mar 11, 2017 by in GERIATRICS Comments Off on Necrotizing Soft Tissue Infections

Gram-positive aerobic bacteria Bacillus sp. Coagulase-negative staphylococci Enterococci Group A, β-hemolytic streptococcus Group B streptococcus Staphylococcus aureus Gram-negative aerobic bacteria Acinetobacter spp. Citrobacter spp. Enterobacter spp. Escherichia coli Haemophilus influenza…

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Thoracic Diseases in the Elderly

Mar 11, 2017 by in GERIATRICS Comments Off on Thoracic Diseases in the Elderly

Fig. 19.1 Bronchoscopic removal of aspirated foreign body Complications associated with bronchoscopic foreign body removal occur in less than 10 % of patients and include bronchospasm, laryngospasm, pneumonia, pneumothorax, pneumomediastinum,…

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Diverticulitis

Mar 11, 2017 by in GERIATRICS Comments Off on Diverticulitis

Fig. 13.1 Colonoscopy showing multiple diverticula (white arrows) without evidence of diverticulitis Complicated Diverticulitis In contrast to uncomplicated diverticulitis, patients with acute, complicated diverticulitis typically present with localized or generalized…

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Renal Replacement Therapy (RRT)

Mar 11, 2017 by in GERIATRICS Comments Off on Renal Replacement Therapy (RRT)

Increase in serum creatinine level (mg/dL) Multivariable OR (95 % CI) Area under ROC curve Increase in total cost 0.3 4.1 (3.1–5.5) 0.84 $4,886 0.5 6.5 (5.0–8.5) 0.86 $7,499 1.0…

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Nutrition Support

Mar 11, 2017 by in GERIATRICS Comments Off on Nutrition Support

Original equation: Mifflin-St Jeor [6] (RMR = resting metabolic rate, Tmax = maximum body temperature, Ve = minute ventilation, wt = weight in kilograms, ht = height in meters) [6] The American College of Chest Physicians (ACCP) consensus statement in…

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Rehabilitation Concerns in Geriatric Trauma

Mar 11, 2017 by in GERIATRICS Comments Off on Rehabilitation Concerns in Geriatric Trauma

Contains 18 items composed of:  13 motor tasks  5 cognitive tasks (considered basic activities of daily living) Dimensions assessed include:  Eating  Grooming  Bathing  Upper body dressing  Lower body dressing  Toileting…

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Penetrating Injury in the Elderly

Mar 11, 2017 by in GERIATRICS Comments Off on Penetrating Injury in the Elderly

Fig. 28.1 Incidence of gunshot wounds stratified by age groups in 98,242 hospital admissions with gunshot injuries (Reproduced, with permission, from the author) Suicides play a major role in penetrating…

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