Geriatrics
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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%