Latest Updates

Management of the Geriatric Patient

    • Emphasis on the importance of exercise in interventions to prevent falls

    • Increasing research on interventions to improve frailty with promising work on interventions that include an exercise component as well as nutritional measures

    • Recommendation against vitamin D to prevent falls in patients without osteoporosis or vitamin D deficiency

    • New and emerging therapies for pressure ulcers stress the importance of microclimate control, prophylactic dressings, and attention to reducing shear and friction in addition to pressure.

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Early Pregnancy Loss

    • Ultrasonography criteria for the diagnosis of early pregnancy loss have recently been redefined.
    • Medical and surgical management are safe and effective, and should be influenced largely by patient preference.
    • Recommendations regarding interval to next conception have recently shifted away from the traditional 3 months.

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Aortic Dissection

    • Surgical treatment of uncomplicated type B aortic dissection
    • Endovascular techniques for malperfusion syndrome
    • Standard practice of intravascular ultrasonography
    • Importance of false lumen thrombosis
    • Maneuvers to decrease the risk of spinal cord ischemia in open aortic surgery

Approach to the Geriatric Patient

    • 2016 EAST practice management guideline on prevention of fall-related injuries in the elderly
    • 2016 CTF on Preventive Health Care recommendations on screening for cognitive impairment in older adults
    • 2016 USPSTF recommendation statement on screening for depression in adults
    • 2015 AGS Beers criteria for potentially inappropriate medication use in older adults
    • 2016 AAO preferred practice guideline on comprehensive adult medical eye evaluation

Gender Dysphoria

    • For children to be diagnosed with GD, they must meet at least six of eight criteria (for at least 6 months), one of them being a desire to be another gender or insistence that one is another gender
    • Patients who do  not meet the full criteria for GD (eg, if symptoms last < 6 months) may be given a diagnosis of “other specified gender dysphoria” or “unspecified gender dysphoria”
    • Although the etiology of GD is not well understood, various psychosocial and biological theories have been proposed. One theory suggests that in utero exposure to steroid hormones plays a role in the masculinization or feminization of certain brain regions, such as the hypothalamus
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