AAHCP Home Medical Care Forum

CASE PRESENTATION

Dr. M was making rounds in the hospital when he received a call from his office telling him that his patient, Mrs. S, was in the emergency room after being involved in a car accident. Mrs. S is a 67-year-old woman who suffered the loss of her husband one year ago due to lung cancer. She has multiple medical problems including hypertension, congestive heart failure, history of an inferior wall myocardial infarction at age 62, coronary artery disease, and severe osteoarthritis. Her medications include amlodipine 10 mg, atenolol 100 mg, furosemide 40 mg, ramipril 5 mg,...

CASE PRESENTATION
Dr. K received a call from one of the residents at the hospital emergency department. His patient, Mrs. B, was going to be admitted due to chest pain, shortness of breath, and poorly controlled blood pressure. Dr. K had been concerned about Mrs. B for several months. She is a 76-year-old widowed woman who suffers from congestive heart failure, hypertension, type II diabetes mellitus, osteoarthritis, and mild renal insufficiency. She was always a very compliant patient who was stable on a regime of atenolol 25 mg once daily, furosemide 40 mg once daily, potassium chlo...

Walking Linked to a Reduced Risk of Dementia in Older Men

Robert D. Abbott, PhD, and colleagues found that walking is associated with a reduced risk of dementia in older men. Results from their prospective cohort study published in a recent issue of the Journal of the American Medical Association, as well as past evidence, suggest that walking and active lifestyles in general both show this association with lower dementia risk.  

Distance walked per day was ascertained at the beginning of follow-up (1991-1993) in 2257 physically capable men ranging in age from 71 to 93 years...

Case Presentation

A 77-year-old Caucasian woman suffered from obsessive-compulsive disorder and recurrent major depressive disorder. She was treated with a complex regimen of psychotropic medications. She called her psychiatrist complaining of insomnia, and trazodone 100 mg at bedtime was prescribed in order to improve sleep adding to an already complicated regimen. After taking one dose of trazodone, she awoke with muscle stiffness, dizziness, ataxia, and difficulty swallowing. Trazodone was immediately discontinued, but her physical symptoms persisted and worsened. She suffered fro...

Case Presentation

Mr. J, a 65-year-old married man, visits his primary care physician following completion of a course of radiation therapy. Mr. J was diagnosed with squamous cell carcinoma of the oral mucosa and underwent surgical excision of the lesion 6 months ago. He has a smoking history of 2 packs per day since the age of 15, and quit on his own “cold turkey” when his cancer was diagnosed. He was compliant with all radiation therapy sessions and was fortunate that the cancer was localized. Dr. Z has been his primary care physician for the past 5 years. He had advised the pa...

Case Presentation

An 82-year-old woman brought her 84-year-old husband to his cardiologist for a routine follow-up visit. Mr. J has a 3-year history of Alzheimer’s dementia, and his wife had been caring for him at home. He suffers from coronary artery disease and hypertension, and he had a myocardial infarction 5 years ago. A pacemaker was inserted 4 years ago after he developed sick sinus syndrome. Mrs. J is well-liked by the office staff, and she often brings them home-baked cookies. She looked tired and pale as they arrived for the appointment.

During the examination, Mr...