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- BookAndrew G. Lee, Jane F. Potter, G. Michael Harper, editors.Summary: This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.
Contents:
Frailty
Delirium
Preoperative Evaluation
Psychiatric Disorders in Older Adults
Medication Management
Palliative Care and End-of-Life Issues
Hospital Medicine
Screening Tools for Geriatric Assessment by Specialists
Cardiothoracic Surgery
Emergency Medicine
Geriatric Trauma and Emergency General Surgery
Special Evidence-Based Considerations in Geriatric Gynecologic Care: Pelvic Floor Disorders
Geriatric Cross-Cutting Issues in Ophthalmology
Geriatric Orthopaedic Surgery
Rehabilitation
Urology
Vascular Surgery
Rheumatology
Cardiovascular Disease
Endocrinology
Gastroenterology
Infection and Immunity in Older Adults
Kidney Disease
A Geriatric Perspective on Oncology Care
Pulmonary and Critical Care Medicine
Behavioral Neurology
Geriatric Dermatology. - ArticleMarqués Gomes MA, García e Silva L, Carneiro de Moura ML, Norton Brandào F.Med Cutan Ibero Lat Am. 1977;5(3):197-204.A 65 year old female patient with a 2 year history of bronchial asthma disseminated petechial, papulopustular and ulceronecrotic eruption and an isolated episode of intestinal bleeding. Chest X rays showed bilateral pulmonary infiltrates and laboratory examination revealed eosinophilia (17%) leucocytosis (22.900) and a severe renal insufficiency. Cutaneous biopsy revealed a necrotizing, leucocytoclastic vasculitis of the small blood vessels in the dermis as well as the hypodermis. The patient died 2 days after diagnosis and corticosteroid therapy had been started. Necropsy showed granulomatous and/or vasculitic lesions of the lungs, spleen, kidneys and skin. The clinical and laboratory aspects are discussed and the relevant literature is reviewed.