Geriatric Medicine

83 written of 83 topics · 40 curriculum entries

🔒 marks premium notes - see plans. Everything else here is free to read in full.

Presentations

Tier 1comprehensive depth
ConstipationDeconditioning following illnessDementia, behavioural and psychological symptomsFallsFractures🔒Functional decline🔒Gait abnormalities or gait disorders🔒Incontinence, faecal and urinary🔒1 examPsychiatric presentations, such as anxiety, depression, mania, and psychosis🔒
Tier 2understand these
Frailty🔒

Conditions

Tier 1comprehensive depth
Arthritis
🔒 osteoarthritis, generalised and regional1🔒 polymyalgia rheumatica1🔒 septic arthritis
Cardiac conditions
🔒 heart failure🔒 ischaemic heart disease5
Delirium🔒1 exam
Dementia syndromes
🔒 Alzheimer disease5🔒 dementia with Lewy bodies6🔒 frontotemporal dementia1
Elder abuse or family violence🔒Herpes zoster🔒Malnutrition and weight loss🔒Oncological conditions🔒Orthostatic hypotension🔒Osteoporosis🔒
Respiratory conditions
🔒 chronic obstructive pulmonary disease🔒 pneumonia or aspiration pneumonia
Ulcers
🔒 arterial🔒 pressure sores🔒 shingles🔒 traumatic🔒 venous
Urinary tract infections🔒Stroke🔒
Tier 2understand these
Substance use disorders
🔒 overdose🔒 withdrawal
Biology of ageing🔒1 examChanges associated with ageing in major organ systems🔒
Concepts to be considered when appraising applicability of evidence to older people
🔒 generalisability🔒 levels of evidence🔒 number needed to harm🔒 number needed to treat🔒 sub-group analyses🔒 adverse event reporting
Pathophysiology of dementia🔒Pharmacological changes in ageing patients🔒
Basic imaging
🔒 DXA bone scan reports
Cerebrospinal fluid (CSF), particularly in the context of delirium or acute confusional state🔒Laboratory tests, including but not limited to assessment of renal function in older patients🔒Assessment of capacity to give informed consent🔒Screening tools for depression in older patients🔒Tests of attention in context of delirium🔒Tests of cognitive function, including delirium🔒1 exam
Clinical issues
🔒 appropriateness of or need for residential care🔒 discharge planning in older people🔒 distinction between urinary tract infections and asymptomatic bacteriuria2🔒 functional decline, frailty, and multimorbidity, and their implication for management🔒 judicious use of investigations and treatments in older patients, and recognising when they may not benefit or may harm🔒 non-specific presentations of disease in older patients🔒 non-surgical management of fractures in patients with osteoporosis🔒 pain management in older patients, especially in the context of renal impairment🔒 perioperative assessment and care🔒 polypharmacy and prescribing issues in older patients, such as adverse drug reactions🔒 prevention and management of complications associated with acute illness and immobilisation🔒 setting appropriate treatment or rehabilitation goals for individual patients
Ethical and legal issues
🔒 ethics of managing older patients🔒 medicolegal considerations and legal framework regarding care of the older person
Patient-centred care and multidisciplinary issues
🔒 assessment of older patients with English as a second language🔒 collaboration with general practitioners, allied health, and other medical specialists to achieve the best outcomes for patients🔒 person- or patient-centred care as a concept, such as actively including patients, families, and carers in decisions regarding the health care or rehabilitation process🔒 potential disadvantages arising from disability or ageing and how to assist persons in achieving their full rights in society🔒 psychosocial factors that may influence health and rehabilitation🔒 role of multidisciplinary team members in diagnosis and management🔒 services available to support older people and their carers in the community