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Epidemiology
- Usually due to stiffening, scarring, and calcification of aortic valve leaflets.
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Preoperative evaluation of chronic medication |
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Identify inappropriate medications for elderly patients
Definition: medications for which a better alternative drug exists and for which the potential risk outweighs the potential benefit.
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DEFINITIONS
- Micro- or macroscopic perforation of a diverticulum caused in most patients by erosion of the diverticular wall by increased intraluminal pressure
- Complicated diverticulitis: presence of a perforation, obstruction, fistula or an abscess (25 percent of patients diagnosed for the first time present); nearly all require surgery.
- Uncomplicated diverticulitis treated with bowel rest and antibiotics needs surgery only in up to 30% of patients.
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Clinical presentation of disease in elderly patients |
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Symptoms and signs
They are frequently milder and less specific than in younger adults.
An accurate history is more difficult to obtain because of:
- fear of loss of independence
- dementia
- cerebrovascular disease
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Challenges to obtain informed consent in the geriatric patient:
- Increased risk of dementia: it is important to determine whether the patient is able to understand, process and retain the information
- Significant dementia: representative (usually familly member) must be consulted regarding decisions about surgery and other treatments or end of life discussions.
- Hearing impairment and other sensory deficits difficults communication
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