Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...
A 68 year male reports that he “can’t breathe” very well. Past medical history includes: COPD Asthma Migraines CHF Edema Hypertension Afib Medication list includes: Tiotropium daily Mometasone inhaler 110 mcg 1 puff twice daily Propranolol 20 mg BID...
A primary provider approaches you to figure out why one of his patient’s diabetes is out of control. Nothing seems to work. The case: A 59 year old female has a past medical history of: COPD Type 2 Diabetes Hypertension GERD Chronic back pain A1C= 10.2 Current...
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
A 78 year old patient with a past medical history of bipolar disorder, dementia with aggressive behaviors, hypertension, and neuropathy was being evaluated and was initiated on Trileptal (oxcarbazepine) to try to help with neuropathy. He had been tried on numerous...
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg twice daily Aspirin 81 mg daily Propranolol 80 mg twice daily Captopril 25...
