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…

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…

Fig. 11.1 (a) Ultrasound demonstrating a noncompressible tubular structure on ultrasound, with a transverse diameter of >6 mm, consistent with acute appendicitis. (b) Ultrasound demonstrating a longitudinal view of a…

Upper GI bleeding Peptic ulcer disease Gastritis Esophageal/gastric varices Mallory-Weiss tear Boerhaave’s syndrome Malignancy Lower GI bleeding Diverticulosis Angiodysplasia Malignancy Inflammatory bowel disease Colitis (ischemic or infectious) Hemorrhoids Anal fissure…

  Alzheimer’s Lewy body Frontal lobe Vascular % of cases 50 20 <10 20 Pathology Neurofibrillary tangles Lewy bodies in cortex and amygdala Degeneration of frontal regions Varied vascular Distinct…

Fig. 29.1 Growth in the elderly population in the USA (Source: Social Security Administration, Office of the Chief Actuary. Note: Projections based on intermediate assumptions of the The 2003 Annual…

Fig. 1.1 The administration on aging The Cost of Caring for the Elderly As the elderly population increases, the need for healthcare services and the cost of health care are…

Surgical ICU characteristics Barrier to palliative care Structure and process “Open” ICU No leadership to drive change Multiple consultants No standard processes in place No interdisciplinary team rounds or processes…

In general, FeNa is < 1 % with plasma volume depletion, congestive heart failure, and acute glomerulonephritis but is > 1 % with bilateral ureteric obstruction and ATN; values commonly exceed 3 % with…