Geriatric Medicine
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USPSTF screening recommendations for osteoporosis | all women 65+
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__% of women >50 have osteopenia | 40
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__ of women >50 have osteoporosis | 7
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what is a T score | a measure (in SDs) below the young adult mean value for bone mineral density
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WHO T-score for osteoporosis vs. National Osteoporosis Foundation | 2.5 vs 2.0
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12 risk factors for osteoporosis | age, low body wt or BMI, not on ERT, white/asian, hx of fracture, family hx, low physical activity, smoking, excessive EtOH or caffeine, low calcium/vit D, medication use
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prevention of osteoporosis | calcium, vit D and weight-bearing excercise, consider women and men, drugss (fosamax)
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leading cause of death for all age 65+ | heart disease
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wt loss for obese patients will reduce __ | cardiovascular load and assist in mgmt of DM and HTN
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cholesterol lowering drug treatment __ years decrease risk of CHD by 30% in people with high total cholesterol or average colesterol and low HDL-C | 5-7
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all patients (regardless of lipid level shoud be counseled about | dietary mods, regular physical activity, avoiding tobacco, maintaining a healthy wt
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treatment of HTN in the elderly significantly reduces | cardiac mortality, reduces rates of fatal and nonfatal endpoints for stroke, CHD, and CVD
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JNC VII recommendations for HTN treatment | wt reduction, physical activity and medical treatment
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National Stroke Association recommendations for BP screening | at every office visit and self monitor BP at home
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most important preventable problem associated with treatment | iatrogenesis-the more aggressive the treatment the greater the chance of an adverse effect (polypharmacy)
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therapeutic window | as the response to therapy decreases the susceptibility to toxic side effects increases, space between therapeutic dose and toxic dose narrows with age
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risks associated with hospitalization | medical errors, risks of bed rest, infection, delerium, sundowning, falls, dependancy, nursing home placement
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Created by:
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