By G. S. Rai MD, MSc, MRCP, V. Pearce MB, BSc, MRCP (auth.)
The objective of those brief notes is to supply the newcomer to the speciality of geriatrics with a large although now not exhaustive differential analysis of many of the more often than not encountered indicators within the aged, and to attract specific realization tothe universal and demanding issues. the typical factors of indicators and the typical dis eases in addition to convinced gains that have specific value to the drugs of the aged are emphasised. a last part on investigations (with brief notes) which one might hire within the perform of geriatric drugs is integrated in addition to an appendix of standard values for the aged. In our view this ebook doesn't express how geriatric drugs is practised however it does supply an overview of medical elements of drugs (geriatrics), wisdom of that's necessary to the perform of ger iatrics. G.S.R. V.P. Foreword I take the view that if energy is diminished to the level that it interferes with lifestyles because the outdated individual would need to dwell it, then a formal scientific evaluate will be made as a part of the general appraisal of that person's difficulties. the availability of a house support or the food on wheels provider can't be anticipated to revitalize the individual being affected by hypothroidism or pernicious anaemia! within the occasion either scientific therapy and social aid can be wanted and to supply one with no the opposite will be part measures.
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Extra resources for Databook on Geriatrics
Tetracycline for secondary infection Pemphigoid 80% of cases are over 60 years of age itchy thick walled blisters may contain blood symmetrical over limbs and abdomen anti-basement membrane antibodies Nikolsky's sign-ve may have underlying malignancy treatment steroids - smaller dosage than in case of pemphigus is required Benign familial chronic pemphigus = Hailey-Hailey disease autosomal dominant vesicles in axilla. groin etc. skin biopsy: extensive acantholysis. suprabasal split heat worsens condition cold produces remission prognosis good Stevens-Johnson syndrome aetiology infection herpes simplex mycoplasma drugs sulphonamides barbiturates etc.
S. s. 5% in clinical studies Aetiology - may develop following suppurative pneumonia following pneumonia complicating measles or whooping cough following obstruction of bronchus by carcinoma Clinical features chronic productive cough sputum +++ recurrent chest infections haemoptysis classical signs of finger clubbing, cyanosis, coarse crepitations are only rarely found diagnosis made on bronchography although plain chest X-rays may suggest its presence Complications severe haemoptysis leading to anaemia cerebral abscess empyema Treatment antibiotics for acute exacerbations of infections physiotherapy - postural drainage - very important transfusion if severe anaemia present on rare occasions surgery may help if bronchiectasis is localized and causing chronic ill-health.
G. for knees Crystalline arthritis gout idiopathic or associated with myeloma, lymphoma etc. 5-1 mg 2-hourly until relief is achieved), phenylbutazone or indomethacin recurrent attacks may be prevented by probenecid or allopurinol (used especially if renal failure also present) pseudogout chondrocalcinosis +ve birefringent calcium pyrophosphate crystals found on microscopy of synovial fluid may be associated with hyperparathyroidism and haemochromatosis X-rays - articular calcification may be seen especially in the knees predilection for larger joints treatment of acute attack - phenylbutazone 600 mg daily, reduce the dose as symptoms improve in between attacks - analgesics (as for OA) 52 Rheumatoid arthritis - see p.