CG CLASSIFIEDS
We are looking for a second fellowship-trained Geriatrician to join our amazing rural Upstate New York community.
Supplements & Special Projects
Psychiatry Rounds
Pick’s Disease
CASE PRESENTATION
Mr. J is a 59-year-old married man who is the vice president of a large accounting firm. He comes to see his internist accompanied by his wife. Mrs. J tells Dr. G that she is extremely concerned about her husband. He has been forgetful at times, such as eating dinner and then coming to her an hour later asking, “What’s for dinner?” She reports that her husband, a usually quiet man, has been talking to strangers, often carrying on long conversations about small details, such as whether the price of postage stamps is too high. Mr. J has been socially inappropriate at ti
Tardive Dyskinesia: An Antipsychotic Side Effect that Has Not Gone Away
CASE PRESENTATION
An 82-year-old woman was referred for psychiatric evaluation by her primary care physician. Mrs. C was accompanied by her 86-year-old husband. She has suffered from dementia of the Alzheimer’s type for the past six years. Her husband has been her primary caregiver, with some assistance from the couple’s son and daughter-in-law, who live nearby. Mrs. C sat quietly next to her husband in the waiting room, but on observation displayed prominent movements of her lips and jaw, as well as restless and jerky movement in her arms and legs.
Mr. C is a very reliable historian
Atypical Antipsychotics and Dementia: Dealing with an Emerging Risk Profile
CASE PRESENTATION
Mr. V is an 83-year-old married man with a history of vascular dementia for the past five years. He is cared for by his 72-year-old wife, with four hours of paid assistance twice per week. Mrs. V attends a caregiver support group at a local senior center and is active in her local Alzheimer’s Association. Mr. V suffered his first stroke five years ago, with right-sided weakness, difficulty with word finding, and cognitive loss. After a period of rehabilitation he was able to return home, using a cane for ambulation. One year later he suffered another stroke, affecting the
Failure to Thrive
CASE PRESENTATION
Mrs. C is a 79-year-old widowed woman admitted to the hospital after suffering a syncopal episode. She was found to be thin and frail, with a blood pressure of 90/50 mm Hg. Mrs. C is 5’9” tall and weighs 112 lbs. Her protein and albumin levels were low, and she was mildly anemic. She underwent numerous diagnostic tests, including computed tomography studies of the head, chest, and abdomen; magnetic resonance imaging of the brain; transesophageal echocardiogram; and monitoring in the hospital telemetry unit. On the third hospital day, Mrs. C was scheduled for endoscopy, b
Post-Traumatic Stress Disorder: When Current Events Cause Relapse
CASE PRESENTATION
Ms. N is a 64-year-old unmarried woman who came to her primary care physician with complaints of headaches and difficulty sleeping. Ms. N is employed as a legal secretary and chose Dr. R from the panel of physicians who participate in her employer’s health insurance plan. She has been her patient for the past 8 years, coming in annually for health maintenance visits. Dr. R has found it difficult to get to know Ms. N, as she does not engage readily in conversation. She is very meticulous about following up with appointments and is always very specific when describing her
Clinical Geriatrics Blogs
Coming in Future Issues of Clinical Geriatrics
Series: Diabetes in the Elderly
Series: Cancer in Older Adults
First Report® Conference Coverage: American Academy of Neurology, American Diabetes Association, 2010 Digestive Disease Week
Assessment and Classification of Pain in the Elderly Patient
Pharmacologic Management of Pain in Older Patients
Miscellaneous Pain Syndromes in Older Adults
Nonhernia Causes of Inguinal Pain in the Elderly
