Issue

  • For older patients with complex health problems, comprehensive geriatric assessment, care coordination, and adherence to the principles of geriatric pharmacology are among the key elements of high-quality healthcare embodied within the principles of geriatric medicine. Geriatric assessment is the logical starting point for such care since it guides and informs all that follows.

    Unfortunately, the lack of geriatricians and other geriatrics healthcare providers is an issue for many older patients and for their primary care physicians (PCPs). As the number of older adults rises, this shortfa

  • Case Presentation
    Ms. K, a 57-year-old Hispanic woman, presented to the Emergency Department with a chief complaint of weight loss. She had lost 40 pounds over the last three to four months. She reported decreased appetite for several months, along with persistent headache, generalized fatigue, yellowing skin, lighter stools, and darker urine for the last two weeks. Ms. K had a mild degree of nausea over the last two weeks but had never actually vomited. Her headaches were bitemporal without dizziness, auras, or photophobia, and were somewhat relieved with over-the-counter (OTC) medica

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    This article is no longer available for CME credit.

     

    Release Date: January 15, 2008
    Expiration Date: January 15, 2009

    TARGET AUDIENCE
    Internists, family practitioners, geriatricians, cardiologists, and others who care for older patients.

    MEDIUM USED & METHOD OF PARTICIPATION
    Read the article, complete the evaluation and post-test, and return both to: NACCME

  • MEETING REPORT
    Stockholm, Sweden
    September 15-19, 2007

    The European Respiratory Society’s Annual Congress is the largest international gathering of health professionals and researchers involved in respiratory medicine in the world. This year, over 15,000 persons attended the meeting held in Stockholm, Sweden. This forum has increasingly become the preferred venue for the presentation of important new research findings and landmark clinical trials in the field of respiratory medicine. Some highlights from the

  • This is the second part of a two-part series on central serotonin syndrome in the elderly that reviews the incidence, how central serotonin syndrome presents in the elderly, which psychiatric and nonpsychiatric medications interact to exacerbate or cause the syndrome, the pathophysiology of the disorder, and its treatment. Part I discussed the history and prevalence of the disorder, causative agents, presentations and diagnostic criteria, and ways to distinguish the condition from other conditions with which it might be initially confused, such as neuroleptic malignant syndrome. Part II foc

  • In preparing for the annual rite of teaching clinical skills to medical students, I was once again reminded of the importance of obtaining an “accurate history,” performing a proper and thorough physical examination, and obtaining necessary and pertinent laboratory testing. How easy it is to go down the wrong diagnostic path if one has erroneous information and makes the wrong assumptions. One excellent example is the frequent complaint of “weakness” when in fact the person is really complaining of feeling “fatigued.” There are over 10 million visits pe

  • Case Presentation
    Mr. V is an 84-year-old male who came to the Geriatric Psychiatry outpatient clinic accompanied by his female partner of 18 years, Ms. Y. Both Mr. V and Ms. Y reported that over the past three years he has suffered from progressively worsening anger issues and mild memory problems, which had intensified more over the past year. Mr. V was raised in a traditional Orthodox Jewish community. According to the patient, he agreed to see a psychiatrist because Ms. Y ha







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