Geriatric Medicine

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					  Geriatric Medicine


  Mehrdad Askarian MD, MPH
Professor of Community Medicine

        Community Medicine 3,
      Lecture for Medical Students
Geriatric Medicine
Old age
Young old: 60-75 y/o
Old old: >75 y/o
   Gerontology
Physical
Psychological
   Social Gerontology
Social attitude
Difficulties due to increase in number
Experimental Gerontology
 Primary biological
 Physiological
 Biochemical
 Pathological
 Psychiatric
Research in Gerontology
   Community oriented
   Body organs
   Systems
   Tissues
   Cells
   Molecular
Female Gerontology
 Prolapse
 Vaginitis (non specific)
 Ovarian tumor
 Psychiatric problems
 Sexual disorders
Geriatric Medicine
 Prevention of accidents:
Falling down (waking up, wet
surfaces, stairway, showering)
     Geriatric Medicine
            Hypertension:
  Complications:
 CVD, CVA, Kidneys, Retina.
  Prevention:
increase activity, decrease wt. salt
intake, smoking secession, urgent
report of lower ext. edema.
     Geriatric Medicine
            Cardiovascular Dx.
  Sign and symptoms: Dyspnea on
exertion, Angina pectoris, Arrythmia,
lower ext. edema.
  Important points:
Prohibition of heavy physical activities.
Inc. light PA. Diet, F/U
     Geriatric Medicine
                  CVA
Hemorrhagic
Thrombotic
           Important points:
  Maintenance of joint movements,
  psychiatric support, control of risk
        factors, medications
    Geriatric Medicine
           Diabetes Mellitus
Vascular, heart, kidneys, eye, nervous
          system problems
           Important points:
 Sugar free diet, decrease wt, care of
          feet, walking, F/U
   Geriatric Medicine
              Cancers
           Large bowel
Inform them regarding symptoms for
               F/U
  Geriatric Medicine
           Respiratory Dx.
Chronic cough, dyspnea, wheezing,
              PNEU
          Important points:
  Smoking secession, crowding
 avoidance, pulmonary exercises,
   Geriatric Medicine
         Urinary incontinence:
 Females (multiparous), decrease
   volume of bladder and muscle
         weakness in males.
           Important points:
Micturation before fullness, complete
            urination, F/U.
    Geriatric Medicine
            Visual acquity:
Decrease, need to more light, cataract.
           Important points:
          Glasses, surgery
  Geriatric Medicine
           Hearing loss:
  Involvement of all parts of ear
         Important points:
Supportive care, inform others, F/U
   Geriatric Medicine
        Movement impairment:
Inflammation and inability to walk or
     movement of different joints
           Important points:
    Increase activity, decrease wt,
increase ROM, avoidance of painful
          movements, F/U.
   Geriatric Medicine
       Psychiatric problems:
   Depression, anxiety, dementia
         Important points:
Involvement in community activities,
        F/U, inform others
  Geriatric Medicine
          Oral cavity Dx.
         Dental missing
Dentiture, oral health, routine P/E

				
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posted:12/27/2011
language:English
pages:20