Introduction to geriatric medicine

Question 1

Inputs into balance, and outputs

Answer 1

Inputs: 
Vision 
Vestibular (motion/rotation) 
Joint position 
Muscle stretch
Peripheral sensation (feet)

Outputs:
Skeletal Muscles
(Joints)
Eye movements

Question 2

What brain structure processes inputs and outputs to balance

Answer 2

Cerebellum

Question 3

Higher brain functions associated with balance

How does environment affect balance

Answer 3

Intentions & Plans
Concentration
Memory
Confidence / Fear

Environment
Floor
Lighting
Obstacles
Distractions

Question 4

How should you structure a history from an older person

Answer 4

1. Background (in a nutshell)
2. Presentation
3. Initial assessment & diagnosis
4. Course of admission / treatment so far
5. Current status
6. Problems, issues, gaps, questions & revisions
7. Plan