Challenges in Acute Geriatric Care

Challenges in Acute Geriatric Care......Page 3
Dedication......Page 7
Contents......Page 9
Preface......Page 11
I. Hypertension in the Elderly......Page 13
II. BP Control May Be Compromised During Intercurrent Illness \n......Page 15
III. Hypertensive Spells......Page 17
IV. Standards of BP Measurement in Acute Geriatric Care  \n......Page 20
V. Frequency of BP Measurements in Acute Geriatric Care \n......Page 23
References......Page 26
I. Syncope in the Elderly......Page 31
II. Orthostatic Hypotension......Page 32
IV. OH in Acute Geriatric Care......Page 37
V. Symptomatic vs. Asymptomatic OH......Page 43
References......Page 45
Normotensive Shock in the Elderly......Page 51
Pathophysiology......Page 52
Clinical Manifestations of Shock......Page 54
Normotensive Shock......Page 55
Case Histories......Page 57
Protracted Orthostatic Hypotension – Predisposing to Shock?......Page 60
Normotensive Shock - Prevention – Diagnosis – Monitoring the Course......Page 62
References......Page 63
Diabetes Management in Acute Geriatric Care \n......Page 69
II. Stress-Induced Hyperglycemia......Page 70
III. Goal Blood Glucose Level......Page 71
IV. Treatment of Hyperglycemia in the Acute Geriatric Ward \n......Page 73
V. Hypoglycemia......Page 75
References......Page 77
Postprandial Syndrome in the Elderly\n......Page 83
Dyspepsia......Page 84
Postcholecystectomy Syndrome......Page 85
Chronic Mesenteric Ischemia......Page 86
Postprandial Hypotension......Page 87
Proposed Diagnostic Approach......Page 89
Conclusions......Page 90
References......Page 91
Management of Sepsis......Page 95
I. Basics......Page 96
II. Sepsis Management Routine......Page 97
III. Empirical Antibiotic Treatment of Sepsis in Acute Geriatric \nCare......Page 102
IV. Vancomycin Treatment for MRSA Infections \n......Page 104
V. Containment of Infection with Resistant Strains \n......Page 110
References......Page 112
Erysipelas, Cellulitis and Mimickers......Page 119
I. Erysipelas......Page 120
II. Cellulitis......Page 122
III. Case Histories......Page 124
References......Page 134
Cutaneous Eruptions......Page 139
References......Page 150
Atypical Skin Ulcers......Page 155
I. Skin Ulcers in the Elderly – Four Common Etiologies\n......Page 156
II. Other Etiologies of Skin Ulcers......Page 160
III. Case History......Page 161
References......Page 165
Acute Orthopedics......Page 169
Case Histories......Page 170
Concluding Remarks......Page 177
References......Page 178
Index......Page 181