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Eskind Library Synthesized Information - Geriatrics

The information provided below is developed by EBL librarians in response to questions from VUMC clinicians. The syntheses provided are copyrighted by the EBL and should not be re-used without permission. Please also review this disclaimer.

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# Created  Details Question

1

2010-12-07

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My patients with asymmetric hearing loss are inevitably referred for a brain MRI with contrast to look for acoustic neuroma or other rare pathology. In my experience, these MRI's always return normal. What is the evidence that this is a necessary or helpful thing to do? How much does it cost to diagnose a single acoustic neuroma and does it make a difference if this is diagnosed sooner rather than later?


2

2010-07-12

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How does milk of magnesia (MOM) compare to other agents regarding effectiveness, and is there toxicity associated with magnesium?


3

2010-05-21

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What does the current evidence say about nonpharmacologic management of agitation in older palliative care patients?


4

2010-05-13

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What are the clinical indicators of frailty in elderly adults?


5

2010-05-10

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What is the current evidence based management of delirium in hospitalized older adults without critical illness?


6

2010-03-12

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A patient with macular degeneration has pseudodrusen. What does the clinical finding of pseudodrusen or "reticular pseudodrusen" have on the potential prognosis of their disease macular degeneration? Also, are they more likely to have complications or resistance to anti-VEGF therapy?


7

2010-02-25

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This is a new patient to my practice who has long-standing gastroesophageal reflux. He underwent an EGD in 2003, negative for dysplasia (by report). My clinical question involves what are initial screening recommendations in a patient with GERD for dysplasia/Barrett's esophagus, and what are recommendations for following them with serial EGD (if any exist)?


8

2009-11-06

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What risks should we tell internists and patients about patients using coumadin or heparin when they have wet age related macular degeneration? What is the likelihood that these medicines will make their eye disease worse?


9

2009-09-21

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What are the current recommendations for treatment of osteoporosis in patients with end-stage renal disease on dialysis? What is the role of bisphosphonate therapy, if any?


10

2009-07-22

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Can you see what information is available on caregiver burden (geriatric patients)? What instruments are there that measure caregiver stress? What support programs help reduce caregiver stress?


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