Geriatrics
Acute monocular vision loss: Don’t lose sight of the differentialAn 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.
- Vulvovaginitis: Find the cause to treat it
The cause is usually infectious, but noninfectious causes should also be considered, and differentiating them can be challenging.
- Confusion and hypercalcemia in an 80-year-old man
His total serum calcium level is 14.4 mg/dL. What is the cause?
- Thoughtful vaccination
Vaccination against the varicella-zoster virus reduces the likelihood of shingles and postherpetic neuralgia.
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.
- Preventing herpes zoster through vaccination: New developments
Because protection wanes by 10 years, a booster dose may be necessary but is not yet recommended.