Cardiothoracic Surgery
Fig. 10.1 (Left) The age-associated activation of inflammatory cells and decline in androgen hormones upset the balance between catabolic and anabolic stimuli, respectively, leading to a decline in muscle mass…
Medication Management
Drugs commonly implicated Drugs less commonly or rarely implicated Typical antipsychotic agents (e.g., chlorpromazine, promazine, haloperidol, trifluoperazine, sulpiride, flupentixol, pimozide, fluphenazine) Atypical antipsychotic agents (e.g., quetiapine, clozapine) Calcium channel agents…
Evaluation and Management of Older Adults with Multimorbidity and Cancer: A Geriatric Perspective on Oncology Care
Organ system Age-associated physiologic changes Implications Cardiovascular Decrease in maximal heart and ventricular compliance and increase in vascular stiffness Increase risk of heart failure during stress and increase risk of…
Gastroenterology
Step 1 Lifestyle modifications Smaller, more frequent meals Avoid chocolate, peppermint, acidic foods, or foods that stimulate acid production (caffeine-containing foods) Stop eating 3–4 h before going to bed Minimize…
Endocrinology
Clinical Scenario HbA1c goals ADA and AGSa Comments Mrs. O. (Case 2) 67-year-old Hispanic patient Medical recently diagnosed T2D. Functional preserved functional status Mental: mild cognitive impairment (MCI) . Social:…
Cardiovascular Disease
Arterial structure and function Increased lumen size Increased wall thickness (intimal-media thickening) Increased calcification Increased tortuosity of large vessels Increased collagen cross-linking Degeneration and fragmentation of elastin Decreased endothelial function…
Rheumatology
© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_20 20. Rheumatology Rebecca L. Manno1 and Jason E. Liebowitz2 (1) Department of Internal Medicine, Division of Rheumatology, Johns Hopkins University, 5501 Hopkins…
Rehabilitation
Fig. 17.1 A travel guide to patient-centered geriatric rehabilitation Meaningful goals anchor geriatric rehabilitation efforts. A shared, collaborative process among providers, patients, families, and their caregivers is mandatory and should…
Otolaryngology Head and Neck Surgery
Aspirin Nonsteroidal anti-inflammatory drugs Aminoglycosides Caffeine Heterocycline antidepressants 16.2.5 Cerumen Impaction Ear wax is normally produced by the lateral one-third of the external auditory canal. Ear wax is a mixture…
