What is the importance of recognizing and managing mental health problems in elderly?

Management of asthma in elderly

A 70-year-old man presented with acute onset of right hemiparesis without any speech disturbance. He has been a hypertensive on Amlodipine for the past seven years. Clinical examination revealed a Blood Pressure of 180/90, normal speech, right hemiparesis grade 3 with normal sensations. How would you evaluate him further, treat and prevent further similar occurrences?

An elderly man is brought by family to emergency room in obtunded state. He has been suffering from diarrhea for last 3 days. His comorbid illnesses are DM, hypertension. Off late his family has been observing some forgetfulness. How will you proceed for assessment of dehydration. What are the risk factors for dehydration in this patient? 

Components of CGA

What is cognitive impairment

A 71-year-old female with longstanding history of episodic non-bilious projectile vomiting (mostly undigested food and saliva) presented with worsening of her symptoms and food intolerance during the previous six months. Over that time frame, she noted a sensation of food becoming stuck in her throat and progressive difficulty swallowing. This difficulty was initially related to solids and then progressively to liquids, which severely limited her food intake. She lost 8 kg since the symptoms started to worsen. She stays alone and does not smoke or drink alcohol. Her family history is noncontributory. On evaluation her upper GI endoscopy showed dilated esophagus and pooling of saliva and a tight GE junction. The barium swallow demonstrated dilated mid-distal esophagus with “bird beaking” appearance. Questions: What is the likely diagnosis? What test is needed to confirm the diagnosis? Outline the common modalities of management.