Geriatrics
- Finding balance: Optimizing medication prescribing in older patients
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
- Transient neurologic syndromes: A diagnostic approach
Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.
- Hypothermia and severe first-degree heart block
A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.
- Preventing cardiovascular disease in older adults: One size does not fit all
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.
- Frailty and cardiovascular disease: A two-way street?
Frailty may be both a cause and a consequence of cardiovascular disease.
- 2017 Update in perioperative medicine: 6 questions answered
Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.
- Acute monocular vision loss: Don’t lose sight of the differential
An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.
- Severely frail elderly patients do not need lipid-lowering drugs
Statins have no role as primary prevention in this population, and a minor role as secondary prevention.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Medical management of urinary incontinence in women
It is common, underreported, and undertreated. Primary care physicians can offer conservative management.