March 21st 2023
Constipation, bloating, and abdominal pain worsening over 1 week bring a woman in her mid-70s to the ED. Labs are normal. What do you see on the CT scan?
January 27th 2023
A New Look at Age-old Geriatric Ills: Photo QuizFebruary 19th 2014
Many older adults have several related medical problems that have various causes and involve many parts of the body, complicating patient care. This week’s photo quiz offers some common geriatric presentations to test your knowledge.
Hospitalization for Constipation: A Most Preventable AdmissionOctober 16th 2013
What accounts for the 129% increase in admissions for constipation over the past decade-and what can be done to avoid these expensive and often unnecessary admissions? Primary care clinicians take note.
Ecchymoses and Erosion on Fragile SkinSeptember 18th 2013
These wounds occurred when this 77-year-old woman fell when chasing her dog. Such wounds-a combination of ecchymoses and erosion caused by blunt and sheering forces on fragile skin-are common in the elderly, even after relatively mild trauma. Simple interventions will promote healing.
Drug-Induced Hypersensitivity Syndrome Caused by Antibiotics in an Elderly ManJanuary 16th 2013
This is a case in which we believe vancomycin and piperacillin/tazobactam caused DIHS with lung involvement in form of bilateral pleural effusions, a very rare presentation.
Elderly Woman With Simultaneous Deep Venous and Arterial ThrombosisJanuary 8th 2013
This patient had unilateral petechiae on the dorsum of the left foot. If the petechiae were symmetric, the first condition on the differential diagnosis would be thrombocytopenia. Here, though, the platelet count was normal. The patient also had a duplex of both the arterial and venous systems that showed complete thrombosis of both the arterial AND venous systems.
Pressure Sore on an Elderly Patient’s HeelJanuary 8th 2013
The patient has a stage 1 decubitus ulcer on her left heel. Both feet are cool but are the same temperature. Distal pulses are palpable but weak on the good foot; they are not palpable on the left and can only be heard faintly with a handheld Doppler. You note unilateral petechiae on the dorsum of the left foot.
The Downside of Antihypertensives in the Elderly: Hip FracturesJanuary 4th 2013
The benefits of antihypertensives in the elderly should be unquestioned-especially since SHEP and its revisit. Avoiding them will create more problems. But caution can be exercised with these specific measures.
Post-traumatic Subcutaneous HematomaNovember 9th 2012
This large bruise developed after the patient had an accident in her yard. Post-traumatic subcutaneous hematomas are common in elderly women, especially those who are anticoagulated. Untreated, the hematoma can eventuate into an abscess and even sepsis.
Stepping Up Geriatric Care When Multiple Problems PresentOctober 17th 2012
More than half of adults 65 years and older have at least 3 chronic conditions, such as heart disease, diabetes mellitus, arthritis, high blood pressure, and Alzheimer disease, according to the American Geriatrics Society.
Diabetes Quiz: A 79-Year-Old With Elevated AlC Who Has Had a Stroke: How Would You Treat?May 1st 2012
The elderly patient has had type 2 diabetes for 15 years is now home bound after a stroke. Her HbA1c is 9.6 and she takes only metformin. Review the rest of her laboratory results and propose a management plan.