The need for vitamin supplements among older patients

The need for vitamin supplements among older patients

Vitamin D, vitamin B12, vitamin C, and vitamin A have been shown to be beneficial during the aging process.

Antifungal therapy in the elderly

Antifungal therapy in the elderly

What is the best treatment option for an elderly man with a two-year history of onychomycosis?

Treating a paranoiac for dementia

Treating a paranoiac for dementia

What is the recommended treatment for patients diagnosed with dementia who are suffering with paranoia and/or hallucinations?

Controlling geriatric hypertension

Controlling geriatric hypertension

Many older patients take many medications, making contraindications a concern when trying to control hypertension.

When to advise palliative care

When to advise palliative care

When do patients benefit most from palliative care consults?

Diarrhea in an elderly man in an assisted-living facility

Diarrhea in an elderly man in an assisted-living facility

What are the next steps after ruling out Clostridium difficile?

Vitamin B12 deficiency in older adults

Should testing for vitamin B12 deficiency be part of a standard geriatric workup?

Urine drainage at the end of life

What options are there for a patient with a continent urinary diversion, who is no longer able to self catheterize and has no reliable caregivers?

Testing for cold intolerance

An elderly man complains of feeling cold all the time, even though the weather is warm.

Avoiding reflux when stopping PPIs

Can patients be weaned from proton pump inhibitors without causing a reflux flare?

What causes delirium?

Is it possible to have a geriatric patient in serious delirium while all labs and urinalysis are within normal limits?

Are iodine preparations safe for treating pressure sore eschar formations?

The use of povidine-iodine in wound care is controversial. Several experimental studies have demonstrated concerns regarding its safety and effect on wound healing.

Advice for managing insomnia in patients with dementia

Experts are not certain why reversed sleep-wake cycles occur in patients with dementia, but it may be related to late-day confusion, end-of-day exhaustion and reduced lighting, among other factors.

Refusal of care during periods of acute confusion

Clinician seeks advice regarding a patient that refuses chemotherapy for multiple myeloma because of concerns that her hair will fall out.

Vitamin B12 deficiency in the elderly

B12 levels rose sharply in a previously deficient elderly patient. Is this cause for concern?

Blisters on swollen ankles

A black woman aged 52 years developed large (1.5-2.0 cm wide), fluid-filled blisters on her swollen ankles. There were no other symptoms, and the patient's health history was unremarkable except for anemia. What could be the cause?

Clearing up pressure sores

Should silver sulfadiazine cream be first-line therapy for pressure sores?

Creatinine levels in the elderly

Some elderly patients show gradual increases in creatinine even when hypertension, blood glucose levels, etc., are well controlled. When should these patients be...

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