Otolaryngology Head and Neck Surgery

Aug 25, 2017 by in GERIATRICS Comments Off on 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…

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Frailty

Aug 25, 2017 by in GERIATRICS Comments Off on Frailty

Fig. 1.1 Two conceptualizations of frailty. (a) Phenotypic frailty. Phenotypic frailty is conceptualized as a clinical syndrome driven by age-related biologic changes that drive physical characteristics of frailty and eventually,…

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Emergency Medicine

Aug 25, 2017 by in GERIATRICS Comments Off on Emergency Medicine

© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_11 11. Emergency Medicine Teresita M. Hogan1   and Thomas Spiegel2 (1) Department of Medicine, Section of Emergency Medicine, and Section of Geriatrics…

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Anesthesia for the Older Patient

Aug 25, 2017 by in GERIATRICS Comments Off on Anesthesia for the Older Patient

Drug Rationale Recommendation Quality of evidence Strength of recommendation Diphenhydramine, meclizine Clearance reduced, risk of confusion Avoid, except in for the use of diphenhydramine for allergic reaction Moderate Strong Atropine,…

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Screening Tools for Geriatric Assessment by Specialists

Aug 25, 2017 by in GERIATRICS Comments Off on Screening Tools for Geriatric Assessment by Specialists

© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_8 8. Screening Tools for Geriatric Assessment by Specialists John R. Burton1   and Jane F. Potter2 (1) The Johns Hopkins Bayview Medical Center,…

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Delirium

Aug 25, 2017 by in GERIATRICS Comments Off on Delirium

Fig. 2.1 Multifactorial model of delirium . The risk of a delirium is a combination of extrinsic factors to the patient (e.g., severity of medical illness, stress of surgical intervention),…

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Palliative Care and End-of-Life Issues

Aug 25, 2017 by in GERIATRICS Comments Off on Palliative Care and End-of-Life Issues

Fig. 6.1 Evaluation and management of those with multimorbidity [1] For older patients with multimorbidity and a new serious problem, as described above, short-, medium-, and long-term goals now may…

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Hospital Medicine

Aug 25, 2017 by in GERIATRICS Comments Off on Hospital Medicine

Organ/system Age-related physiologic change Consequences of aging, not disease General ↑ Body fat Altered drug distribution ↓ Total body water  Endocrine Impaired glucose homeostasis ↑ glucose during stress ↑ ADH,…

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Preoperative Evaluation

Aug 25, 2017 by in GERIATRICS Comments Off on Preoperative Evaluation

Comprehensive Limited (one from each domain) CAGE screen for alcohol abuse Cardiac and pulmonary risk factors Frailty, 5-point phenotype assessment ADL IADL TUG Nutrition screen Hearing screen Medication review Charlson…

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