II. Screening: Common Medical Conditions affecting patients over age 75

V. Exam: Head and Neck

  1. Face
    1. Facial asymmetry (e.g. neurovascular disease)
    2. Frontal bossing (Paget's Disease)
  2. Eyes
    1. Vision Loss (Macular Degeneration, Cataracts, Glaucoma)
  3. Ears
    1. Hearing Loss
  4. Mouth
    1. Oral Lesions (denture fit,, Leukoplakia)
    2. Xerostomia (e.g. Diabetes Mellitus, Sjogren's Syndrome, Anticholinergic Medications)
  5. Neck
    1. Carotid Bruit
    2. Thyroid mass

VI. Exam: Trunk

  1. Heart Exam
  2. Lung Exam
  3. Abdomen
    1. Abdominal Aortic Aneurysm
    2. Constipation (drug-related, Colon Cancer, dehydration)
    3. Fecal Incontinence (e.g. Fecal Impaction)
    4. Rectal bleeding
  4. Genitourinary
    1. Vaginal atrophy
    2. Prostate enlargement
    3. Urinary Incontinence

VII. Exam: Extremity

  1. Feet
    1. Bunions, Callus, and non-healing sores
    2. Peripheral Vascular Disease
    3. Venous Insufficiency
  2. Joints
    1. Painful range of motion
    2. Antalgic Gait
  3. Neurologic
    1. Ataxia
    2. Parkinsonian Tremor

VIII. Prevention: Counseling for over age 65 years

  1. Tobacco Cessation
    1. Quitting as late as age 65 still increases life expectancy 1-3 years
    2. Taylor (2002) Am J Public Health 92(6): 990-6
  2. Heart Healthy Diet (e.g. Mediterranean Diet)
  3. Exercise in the Elderly

IX. Prevention: Screening

  1. Abdominal Aortic Aneurysm Screening with abdominal Ultrasound
    1. Screen men between ages 65 to 75 if any history of Tobacco abuse
  2. Breast Cancer Screening with Mammograms
    1. Annually in women up to age 79 (or at least 5 year life expectancy)
  3. Cervical Cancer Screening with Pap Smears
    1. May be discontinued after age 65 unless dysplasia history or inadequate prior screening
  4. Colorectal Cancer Screening
    1. Screen with Colonoscopy at recommended intervals and annual Fecal Occult Blood
      1. See Colon Cancer Screening with Colonoscopy for recommended intervals
    2. Continue screening as long as patient has at least 5 year life expectancy
  5. Osteoporosis Screening
    1. See Osteoporosis Screening

XI. References

Images: Related links to external sites (from Google)

Ontology: Geriatrics (C0017469)

Definition (MSH) The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.
Definition (PSY) Medical subdiscipline which deals with the problems of old age and aging.
Definition (NCI) The branch of medical science that deals with diseases and problems specific to elderly people.
Concepts Biomedical Occupation or Discipline (T091)
MSH D005853
SnomedCT 393386001, 394336003, 394811001
Swedish Geriatrik
English Gerontological, geriatrics (field), geriatric medicine (field), geriatrics medicine, Geriatric medicine (qualifier value), Geriatric medicine, Gerontology, Gerontology / Geriatrics, Geriatrics, geriatrics, geriatric medicine
Czech geriatrie
Spanish Geriatric medicine, geriatría (calificador), geriatría, Geriatria, Geriatría
Finnish Geriatria
Russian GERONTOLOGIIA, GERIATRIIA, ГЕРИАТРИЯ, ГЕРОНТОЛОГИЯ
Croatian GERIJATRIJA
Polish Gerontologia, Geriatria
French Gériatrie
German Geriatrie
Italian Geriatria
Dutch Geriatrie
Portuguese Geriatria