Table of Contents
Infections in the Elderly
Case: The presentation
Case:Tx & Hospital Coarse
Case: What should you do?
Case: How it ended.
General Background
General problems
Lets consider IMMUNITY
Waning Immunity with age
The influenza vaccine
OMT for the influenza vaccination?
Lets consider Nutrition and infections
Malnutrition and immunity
Infections and malnutrition
Lets consider FEVER
The importance of Fever
But, does fever help with host defense?
How do we get a fever?
Fever is often blunted or absent in the elderly
Why is fever blunted in the elderly?
What is Considered a fever in frail elders?
High fevers in the elderly
Acute confusion
Delirium in the Emergency Room Two reviewers 87.6%
agreement
Delirium in the ER (73 consecutive cases, 2 reviewers
87.5 % agreement)
Urinary tract infections
How might a UTI manifest in the elderly? (Slide
1)
How might a UTI manifest in a the elderly? (Slide
2)
Asymptomatic bactiuria in the nursing home
Diagnostic Problem in frail nursing home elders
Pyuria, cultures and treatment
Likely Pathogens
Oral treatment options
Duration of treatment of UTI in the elderly?
Pneumonia
General comments about pneumonia in the elderly
Types of pneumonia
Clinical Presentation
Answers to the Quiz
More answers
The last slide, so remember
Questions? |
Author: Dr. Noll, KCOM
Email: dnoll@kcom.edu
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