Geriatrics Flashcards
MCC of blindness
Macular degeneration
MCC of visual loss
Cataracts
Most common endocrine cause of carpal tunnel
Hypothyroidism
Presbyopia
- lens elasticity (farsighted)
Presbycusis
- sensorineural hearing loss
- men = loss of high tones
- women = loss of low tones
Macular degeneration
- irreversible
- painless
- central field loss
Most common cause of conduction loss in elderly
Cerumen
2 most common fracture in elderly
Traumatic = fall down in winter and fracture wrist
Spontaneous = break their hip and fall down
Stroke
- tear of intima
- FAST
— face, arm, speech, time
Seborrheic keratosis
- barnacles of old age
- insignificant
Lichenification and leukoplakia
Precancerous (chewing tobacco
Constipation due to
Decreased fiber and fluids
Osteoporosis
- DX with DEXA
- bone density
- normal blood calcium
Prostate
- PSA(prostate specific antigen): non specific test
Arterial insufficiency
Pale, thin skin, smokers
Venous insufficiency
- rumor, stasis dermatitis (LE first)
Age effects on: GFR? Kidney mass?
GFR decrease by 1/2
Kidney mass decreases
Age effects on: lean muscle
Decreased
Age effects on: lung capacity
Age effects on:
Age effects on: collagen tissue
Decrease
Age effects on:RBC’s
Micro/hypo
Decrease
Age effects on: H20 and turgor
Decrease
Age effects on: brain and nerve
Decrease by half
Age effects on: taste
Decrease by 65%
Age effects on: blood glucose
Same
Age effects on: blood calcium
Same
Age effects on: WBC’s
Same
Age effects on: fat
Increase
Age effects on: ESR
Increase
Age effects on: residual volume
Increase - can’t expel all the air out
Incontinence causes
- stress
- neurogenic (cauda equina)
- infectious/ urge
ESR levels
0-30 normal for aging population
0-20 normal
30-80 not diagnostic
ESR over 80 in someone over 50
- Giant cell arthritis: basically have associated polymyalgia rheumatica (achy joints)
Or - multiple myeloma: primary bone cancer (blood actually); stacks of IgG - Rouleaux complex
<1 cm
Flat
Freckle
Macule
<1 cm
Raised/solid
Wart
Papule
< 0.5 cm
Raised/serous
Herpes
Vesicles
(Hives, wheals, and urticaria)
[hiving hold wheal and hurt your car]
< 0.5 cm
Raised/pus
Acne
Pustule
Flat
Large
Mongolian
Birthmark
Raised/solid
Arthritis
Large
Module
Raised/serous
Pemphigus
Large
Bullae
Raised
Pus
Large
Boil =>carbuncle
Furuncle