Flashcards in Miscellaneous Deck (18):
What are 3 key considerations when a patient presents following a fall?
1. Injuries sustained
2. Circumstance of fall
3. Falls risk factors
What is a basic management plan for an elderly patient that has sustained a fall?
-Review anti-hypertensive medication
-Physiotherapy for balance training
-Consider treating 'fear of falling'
-Consider environmental modification
What is a 'hot fall'?
Patient is acutely unwell but presents with a fall as a non-specific marker of ill-health
What is a 'cold fall'?
Generally occurs in older, frail people with multiple contributing factors
What are 3 common balance tests?
1. Romberg's test
2. Timed up and go
3. Sternal push or shoulder tug
What is the timed up and go test?
How long it takes a patient to stand up from a standard chair, walk 3 metres, turn around, walk back to chair & sit down
What is an average timed up and go speed for a 70 year old?
What are some differential diagnoses in a 23 year-old presenting with psychosis?
-Brief psychotic disorders
What are some of the symptom clusters seen in schizophrenia?
What are the 2 main types of delirium?
What are features of hyperactive delirium?
-Verbal or physical aggression
What are features of hypoactive delirium?
Patients appear quiet & withdrawn
What is the CAM diagnosis of delirium?
1. Acute onset & fluctuating course
3. Disorganised thinking
4. Altered conscious state
Presence of 1 and 2 and either 3 or 4.
What are some clinical features of dementia?
-Abnormal or inappropriate vocalisations
What is the differential diagnosis of dementia?
-Dementia with Lewy bodies
-Frontal lobe dementia
What are the giants of geriatric medicine (4 starting with I)?
What is Fried's criteria of fraily?
1. Unintentional weight loss
4. Slow walking speed
5. Low physical activity
Frail is 3 or more criteria