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Geriatric Medicine

General Hospital Medicine   

Questions discussed in this category

How do you manage sleep disturbances in patients with Alzheimer’s disease without relying heavily on deliriogenic medications?
3 Answers available
What are some practical steps physicians can take to optimize mobility and reduce falls in hospitalized patients?
1 Answer available
How would you approach the management of asymptomatic ALT and GGT elevation in an older adult patient with depression with psychosis and without history of hepatitis who recently had dose of quetiapine increased and new initiation of SNRI?
1 Answer available
How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?
7 Answers available
What is your approach to counseling severely frail older adults regarding their planning for invasive life-sustaining therapy?
1 Answer available
How do you choose among SSRIs and dosing strategies for the management of behavioral and psychological symptoms of dementia?
What factors might drive decisions for different SSRIs and/or doses?
1 Answer available
Do you routinely adjust your interpretation of SLUMS and/or MOCA tests in patients depending on their level of education?
2 Answers available
What is your approach to the use of GLP-1 agonists in older adults with diabetes with or at risk of sarcopenia?
3 Answers available
How soon after a fracture would it be safe to start anti-resorptive therapy?
2 Answers available
How do you recommend counseling patients on the prognosis of advanced cancer as a generalist who is not highly specialized in cancer literature or cancer-directed therapies?
2 Answers available
When do you consider using aspirin 81 mg PO BID for VTE prophylaxis over other agents in patients with a fracture, considering recent trial data?
O'Toole et al., PMID 36652352
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2023 Jan 19
Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture.
JAMA, 2022 Aug 23
Effect of Aspirin vs Enoxaparin on Symptomatic Venous Thromboembolism in Patients Undergoing Hip or Knee Arthroplasty: The CRISTAL Randomized Trial.
Journal of palliative medicine, 2012-02
Systematic review of cancer presentations with a median survival of six months or less.
Journal of the American Medical Directors Association, 2022 Mar 23
Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.
Palliative medicine, 2022 Jul
The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis.
The Journal of clinical endocrinology and metabolism, 2022 Dec 17
Inpatient Zoledronic Acid and Integrated Orthopedic and Fracture Liaison Services Improve Osteoporosis Treatment Rates.
J Bone Miner Res, 2024 Aug 21
Zoledronic acid for hip fracture during initial hospitalization.
J Clin Endocrinol Metab, 2023 Oct 18
Safety of Inpatient Zoledronic Acid in the Immediate Postfracture Setting.
The American journal of psychiatry, 2016-05-01
Heterogeneity of Treatment Response to Citalopram for Patients With Alzheimer's Disease With Aggression or Agitation: The CitAD Randomized Clinical Trial.
The American journal of psychiatry, 2016-05-01
Effects of Citalopram on Neuropsychiatric Symptoms in Alzheimer's Dementia: Evidence From the CitAD Study.
JAMA, 2014 Feb 19
Effect of citalopram on agitation in Alzheimer disease: the CitAD randomized clinical trial.
Frontiers in aging neuroscience, 2023 Mar 03
Comparative efficacy and safety of antidepressant therapy for the agitation of dementia: A systematic review and network meta-analysis.
Journal of Alzheimer's disease : JAD, 2020
The Efficacy of Sertraline, Escitalopram, and Nicergoline in the Treatment of Depression and Apathy in Alzheimer's Disease: The Okayama Depression and Apathy Project (ODAP).
Journal of the American Geriatrics Society, 2025 Apr 28
Treatment of Inappropriate Sexual Behavior in Persons With Dementia: A Systematic Review.
Diabetes research and clinical practice, 2021 Mar 08
GLP-1 receptor agonists and SGLT2 inhibitors for older people with type 2 diabetes: A systematic review and meta-analysis.
Journal of diabetes, 2025 Jun
Monitoring Sarcopenia With Incretin Receptor Activator Treatment.
Annals of internal medicine, 2021 Nov 23
Risk for Recurrent Venous Thromboembolism in Patients With Subsegmental Pulmonary Embolism Managed Without Anticoagulation : A Multicenter Prospective Cohort Study.
The Cochrane database of systematic reviews, 2014-03-21
Pharmacotherapies for sleep disturbances in Alzheimer's disease.
Translational psychiatry, 2022 Apr 01
Sleep in Alzheimer's disease: a systematic review and meta-analysis of polysomnographic findings.
Journal of sleep research, 2020 Dec 02
Pharmacological and non-pharmacological interventions to enhance sleep in mild cognitive impairment and mild Alzheimer's disease: A systematic review.
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2016 Jan 27
Mirtazapine does not improve sleep disorders in Alzheimer's disease: results from a double-blind, placebo-controlled pilot study.
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2022 Dec 01
Effects of quetiapine on sleep: A systematic review and meta-analysis of clinical trials.
CNS drugs, 2024 Aug 09
Effects of Trazodone on Sleep: A Systematic Review and Meta-analysis.
JAMA network open, 2020 Nov 02
Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial.
Age and ageing, 2022 May 01
Interventions to reduce falls in hospitals: a systematic review and meta-analysis.
Journal of advanced nursing, 2025 Feb 28
Falls in Hospitals: Challenging Traditional Risk Assessments With New Insights Into Patient Mobility.

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