Case Report

Evaluation and Management of Hearing Loss in Older Adults

Complementary and Alternative Medicine Use for Treatment and Prevention of Late-Life Mood Disorders

Potential Adverse Effects of Proton Pump Inhibitors in the Elderly

Dementia with Lewy Bodies

Shoe Wear Recommendations for the Older Adult

Calcimimetic Agent Resolves Cognitive Deficits and Psychotic Symptoms in an Older Patient

Persistent Nodular Rash in an Older Patient

Case Presentation

A 62-year-old white male presented to a same-day clinic with a complaint of painless, nonpruritic maculopapular lesions on his back, chest, and shoulders. The lesions first appeared 2 weeks prior, and the patient had treated them unsuccessfully with bacitracin ointment. His past medical history was significant for Crohn’s disease, hyperlipidemia, a cerebrovascular accident (CVA), and recurrent methicillin-resistant Staphylococcus aureus (MRSA) furunculosis. Overall, his medical problems were well controlled, and he was compliant with his care. His medications included simvastatin and aspirin, which he had been taking for years. He denied insect exposure and use of new detergents, soaps, lotions, or other skin irritants. Of note, the patient was a wrestling coach and himself a competitive wrestler.

Spontaneous Iliopsoas Hematoma with Femoral Neuropathy—An Unusual Complication of Anticoagulation

Introduction

We report a case of spontaneous iliopsoas hematoma presenting with femoral neuropathy in an 84-year-old anticoagulated patient. Spontaneous iliopsoas hematoma is a rare but well-recognized complication of anticoagulation that may result in significant neurological disability. Pain or weakness in the groin or thigh of an anticoagulated patient should raise the suspicion of an iliopsoas hematoma and prompt urgent imaging, ideally with contrast-enhanced computed tomography (CECT). Both conservative and invasive management strategies may be adopted depending on the patien

Foot Gangrene From Complication of Heparin-Induced Thrombocytopenia

Introduction

Heparin-induced thrombocytopenia (HIT) is a serious, immune system–mediated complication of heparin therapy. If the condition of HIT is not detected in a timely manner, it often results in devastating thromboembolic outcomes. Since thrombocytopenia is common in hospitalized older patients, occurring in up to 58% of critically ill patients, and can be caused by a variety of factors,1 HIT, unfortunately, often remains unrecognized. Heparin, especially low-molecular-weight heparin (LMWH), is a widely used drug in hospitals. It is important to be aware of HIT by recogni

Ascending Paralysis, Hyperkalemia, and Acute Renal Failure in an Older Woman

Introduction

Acute ascending paralysis secondary to hyperkalemia is a serious but reversible medical emergency. While the adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs) in patients with renal failure are very well known, it is important to remember that they can cause serious damage even in patients with preserved renal function in the setting of dehydration.

Case Presentation

A 75-year-old woman was admitted to the Emergency Service with generalized weakness and paresthesias. She had a history of chronic edema of the lower limbs, which was being tre