GERIATRICS

Vascular Surgery

Aug 25, 2017 by in GERIATRICS Comments Off on Vascular Surgery

Time Cumulative mortality risk % Symptomatic Asymptomatic 1 year 10 6.2 2 year 18.8 13.1 3 year 27.1 19.8 4 year 36.3 27.9 Data from Jalbert JJ, Nguyen LL, Gerhard-Herman…

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Geriatric Orthopedic Surgery

Aug 25, 2017 by in GERIATRICS Comments Off on Geriatric Orthopedic Surgery

Fig. 15.1 Careful surgical positioning of the elderly patient is essential. (a) A patient with an ankle fracture is positioned with padding and safety straps. (b) Ecchymotic skin is frequently…

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Kidney Disease

Aug 25, 2017 by in GERIATRICS Comments Off on Kidney Disease

Cause Common causes in older adults:  Hypertension  Diabetes mellitus  Renal vascular disease  Chronic urinary obstruction  Systemic vasculitis  Multiple myeloma  Glomerulonephritis  Nephrotic syndrome  Multifactorial etiology (e.g., renal vascular disease with chronic…

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Geriatric Trauma and Emergency General Surgery

Aug 25, 2017 by in GERIATRICS Comments Off on Geriatric Trauma and Emergency General Surgery

Fifteen-variable trauma-specific frailty index Comorbidities Cancer history Yes (1) No (0) PCI (0.5) Coronary heart disease MI (1) CABG (0.75)   Medication (0.25) None (0)  Dementia Severe (1) Moderate (0.5) Mild…

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Cardiothoracic Surgery

Aug 25, 2017 by in GERIATRICS Comments Off on 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…

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Medication Management

Aug 25, 2017 by in GERIATRICS Comments Off on 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…

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Evaluation and Management of Older Adults with Multimorbidity and Cancer: A Geriatric Perspective on Oncology Care

Aug 25, 2017 by in GERIATRICS Comments Off on 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…

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Gastroenterology

Aug 25, 2017 by in GERIATRICS Comments Off on 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…

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Endocrinology

Aug 25, 2017 by in GERIATRICS Comments Off on 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:…

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