Geriatric

CHAPTER 40 ORTHOPEDIC DISORDERS

CHAPTER 40 ORTHOPEDIC DISORDERS Practice of Geriatrics CHAPTER 40 ORTHOPEDIC DISORDERS Thomas P. Sculco, M.D. Trauma and Fracture Management Osteoporosis Management of Arthritis in Geriatric Patients Summary The impact of musculoskeletal disorders on the geriatric population is immense. It is estimated that by the year 2030, 21% of the United States population will be over […]

CHAPTER 39 MUSCULOSKELETAL DISORDERS

CHAPTER 39 MUSCULOSKELETAL DISORDERS Practice of Geriatrics CHAPTER 39 MUSCULOSKELETAL DISORDERS Evan Calkins, M.D., and Adrian O. Vladutiu, M.D., Ph.D., F.A.C.P. Classification and Pathophysiology Clinical Assessment Specific Clinical Entities Soft Tissue Rheumatism: Medical Orthopedics Summary CLASSIFICATION AND PATHOPHYSIOLOGY Aches and pains in the musculoskeletal system constitute the most frequent complaints of older persons (Fig. 39-1) […]

1.1 Current scope and concerns in public health (cont’2)

Public health strategies Surveillance and monitoring The backbone of public health strategy is the development, implementation, and maintenance of an accurate reliable health information or surveillance system. Donald A. Henderson, who led the successful campaign to eliminate smallpox, has said that ‘surveillance serves as the brain and nervous system for programmes to prevent and control […]

CHAPTER 38 INFECTIONS

CHAPTER 38 INFECTIONS Practice of Geriatrics CHAPTER 38 INFECTIONS Mira Cantrell, M.D., and Dean C. Norman, M.D. Epidemiology Pathogenesis of Infection in the Elderly Factors Peculiar to Infections in the Elderly General Approach to the Management of Infection in the Elderly EPIDEMIOLOGY Infections have a major impact on the elderly, particularly those who are more […]

CHAPTER 34 CARDIAC DISORDERS (cont’)

ELECTROCARDIOGRAPHIC FINDINGS AND ARRHYTHMIAS Abnormal resting ECGs are common in the elderly. The most frequently observed abnormalities in this patient population include nonspecific ST-T-wave changes, atrial fibrillation, premature atrial and ventricular contractions, first-degree atrioventricular block, and left axis deviation.72,73 In the absence of structural cardiac disease, these abnormalities, with the exception of atrial fibrillation, have […]

CHAPTER 35 HYPERTENSION

CHAPTER 35 HYPERTENSION Practice of Geriatrics CHAPTER 35 HYPERTENSION Mark Andrew Supiano, M.D. Pathophysiology Clinical Assessment Diagnosis and Management In contrast to the former view that high blood pressure is an expected normal aspect of aging, it is now evident that hypertension in the elderly is a disease state that is associated with significant adverse […]

CHAPTER 33 PARKINSON’S DISEASE AND PARKINSONIAN SYNDROMES

CHAPTER 33 PARKINSON’S DISEASE AND PARKINSONIAN SYNDROMES Practice of Geriatrics CHAPTER 33 PARKINSON’S DISEASE AND PARKINSONIAN SYNDROMES David Gordon Lichter, M.B., Ch.B., F.R.A.C.P. Pathophysiology Clinical Assessment Differential Diagnosis of Parkinson’s Disease Management of Parkinson’s Disease Institutionalization in Parkinson’s Disease Life Expectancy in Parkinson’s Disease Parkinson’s disease (PD) currently affects approximately 1 million people in North […]

CHAPTER 32 CEREBROVASCULAR DISEASE

CHAPTER 32 CEREBROVASCULAR DISEASE Practice of Geriatrics CHAPTER 32 CEREBROVASCULAR DISEASE* Linda Ann Hershey, M.D., Ph.D. Epidemiology Pathophysiology Clinical Assessment Management Summary Stroke is the third leading cause of death in the developed world. With heart disease and cancer, it ranks among the most costly of all health care problems. Transient ischemic attacks (TIAs) are […]

CHAPTER 31 NERVOUS SYSTEM DISEASE

CHAPTER 31 NERVOUS SYSTEM DISEASE Practice of Geriatrics CHAPTER 31 NERVOUS SYSTEM DISEASE Raymond J. Baddour, M.D., and Leslie Wolfson, M.D. The Neurology of Aging: Normal Versus Pathologic Change Neurologic Evaluation Disorders of Mobility Paroxysmal Disorders Structural Disease of the Brain Spinal Cord Diseases Neuromuscular Disease In the past century, life expectancy has increased from […]

CHAPTER 30 ALCOHOL AND SUBSTANCE ABUSE

CHAPTER 30 ALCOHOL AND SUBSTANCE ABUSE Practice of Geriatrics CHAPTER 30 ALCOHOL AND SUBSTANCE ABUSE Wendy Adams, M.D., M.P.H. The Scope of the Problem Pharmacology Clinical Presentations of Problem Drinking Screening and Diagnosis Treatment Abuse of Other Substances Summary THE SCOPE OF THE PROBLEM The importance of alcohol use and misuse as risk factors for […]