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Geriatric Medicine

Hospital Medicine   

Questions discussed in this category

For patients with acute renal failure and possible urinary retention, do you obtain a bedside bladder POCUS exam before ordering renal imaging or placing a Foley catheter?
If so, how does that contribute to your assessment?
1 Answer available
For older adults undergoing intermediate-risk non-cardiac surgery, do you routinely check pre-operative pro-BNP levels for risk stratification based on emerging data and updated Canadian guidelines?
Duceppe et al., PMID 27865641
1 Answer available
In an older adult hospitalized with recurrent falls, weight loss, without clear injuries, but with an inconsistent or difficult-to-reach caregiver, what findings would make you formally report suspected elder neglect and/or abuse?
1 Answer available
Have you changed your approach to delaying hip surgery in the context of decompensated CHF given the findings of the HIP-ATTACK study?
HIP ATTACK Investigators, PMID 32050090 
1 Answer available
What is the role for checking uric acid levels in evaluation of SIADH in hospitalized older adults?
1 Answer available
What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?
For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome. 
2 Answers available
What are some practical steps physicians can take to optimize mobility and reduce falls in hospitalized patients?
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 are the best practices for optimizing transitions from hospital to skilled nursing facilities for older adult patients, with specific regard to adapting hospital medication regimens to the skilled nursing facility setting?
3 Answers available
What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
2 Answers available
What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?
1 Answer available
How do you counsel patients who are concerned that discontinuation of certain chronic medications may actually perpetuate suffering at the end of life?
Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...
1 Answer 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
How do you approach revascularization in patients over 75 years with NSTEMI, given recent evidence from the SENIOR-RITA trial that an invasive strategy does not significantly reduce cardiovascular events compared to a conservative strategy?
Kunadian, et al., PMID 39225274
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2024 Sep 01
Invasive Treatment Strategy for Older Patients with Myocardial Infarction.
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 Cochrane database of systematic reviews, 2018 Aug 23
Impact of medication reconciliation for improving transitions of care.
Journal of pain and symptom management, 2018-03
"They Need to Have an Understanding of Why They're Coming Here and What the Outcomes Might Be." Clinician Perspectives on Goals of Care for Patients Discharged From Hospitals to Skilled Nursing Facilities.
Journal of general internal medicine, 2023 Oct 02
Hospitalists Improving Transitions of Care Through Virtual Collaborative Rounding with Skilled Nursing Facilities-the HiToC SNF Study.
Journal of pain and symptom management, 2002-05
An open-label, crossover trial of mirtazapine (15 and 30 mg) in cancer patients with pain and other distressing symptoms.
Annals of internal medicine, 2025 Sep 30
Trends in Dispensed Gabapentin Prescriptions in the United States, 2010 to 2024.
British journal of clinical pharmacology, 2023 Jun 13
Deprescribing interventions for gabapentinoids in adults: A scoping review.
Journal of the American Geriatrics Society, 2013 Sep
Gabapentin withdrawal: case report in an older adult and review of the literature.
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.
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.
Circulation, 2024 Sep 24
2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Lancet (London, England), 2020 Feb 09
Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial.
The Journal of bone and joint surgery. American volume, 2024 Jul 25
Myocardial Injury in Patients with Hip Fracture: A HIP ATTACK Randomized Trial Substudy.
Journal of clinical anesthesia, 2023 Jul 11
Diagnostic and prognostic value of cardiac stress testing before major noncardiac surgery-A cohort study.
Hypertension (Dallas, Tex. : 1979), 2005 Jun 06
Effect of compensated renal dysfunction on approved heart failure markers: direct comparison of brain natriuretic peptide (BNP) and N-terminal pro-BNP.
European journal of heart failure, 2022 Aug 08
Clinical effect of obesity on N-terminal pro-B-type natriuretic peptide cut-off concentrations for the diagnosis of acute heart failure.
Journal of general internal medicine, 2025 Jul 09
Imaging of Medical Patients with Acute Kidney Injury: Patterns of Ultrasound Use and the Role of Point-of-care Ultrasound at a Tertiary Care Center.
Ultrasound in medicine & biology, 2022 Jul 30
Accuracy of Multi-organ Point-of-Care Ultrasound for Acute Kidney Injury Etiologies.

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