List of Contributors vii 1 General assessment of the elderly patient 1 Alison Southern & Scott Wilber 2 Physiologic changes with aging 13 Kate D. Zimmerman & Robert S. Anderson, Jr. 3 Functional assessment of the elderly 28 Kirk A. Stiffler 4 Pharmacological issues in the elderly 43 Ruben Olmedo & Denise Nassisi 5 Altered mental status in the elderly 58 Josh Joseph & Maura Kennedy 6 Geriatric psychiatric emergencies 71 Josh Joseph & Maura Kennedy 7 Acute abdominal pain in the elderly: Surgical causes 83 Katren Tyler & Maura Kennedy 8 Nonsurgical abdominal pain in the elderly 99 Katren Tyler & Maura Kennedy 9 Back pain 110 Nicholas Santavicca & Michael E. Winters 10 Headache 123 Benjamin W. Friedman & Rebecca Nerenberg 11 Dyspnea in the elderly 139 Mercedes Torres & Siamak Moayedi 12 Acute chest pain in the geriatric patient 152 Marianne Haughey 13 Acute cardiac disease in elder patients 168 Susanne DeMeester 14 Syncope in Geriatrics 191 Timothy C Peck, Nissa J Ali & Shamai A Grossman 15 Stroke 203 Julie Watkins-Torrey, Roxanna Sadri & Kama Guluma 16 Infections 218 Jason Ondrejka & Scott Wilber 17 Dizziness and vertigo in the geriatric population 234 Jonathan Edlow & Alessandro Cancelliere 18 Weakness and functional decline 252 Colleen M McQuown 19 Emergency department evaluation of falls in the elderly 264 Tania D. Strout & Robert S. Anderson 20 Trauma in the geriatric patient 280 Christopher R. Carpenter & Peter L. Rosen 21 Surgical considerations in the elderly 304 Charles W. O'Connell, Davut Savaser & Colleen Campbell 22 Oncologic emergencies 321 Gabriel Wardi, Alexander Bromfield & Leslie C. Oyama 23 Elder abuse and neglect 351 Michael C. Bond & Kenneth H. Butler 24 Geriatric emergency pain management case 363 Teresita M Hogan & Alexandra Wong 25 Ethical issues and end-of-life care 386 Phillip D. Magidson & Jon Mark Hirshon 26 Geriatric dispositions and transitions of care 394 Barbara Morano, Carmen Morano, Kevin Biese, Eric A. Coleman & Ula Hwang 27 The geriatric ED, 407 Phillip D. Magidson, John G. Schumacher & Elizabeth A. Couser Index 417
Series Editors: Shamai Grossman, Assistant Professor of Medicine; Director, Clinical Decision Unit and Cardiac Emergency Center. Beth Israel Deaconess Medical Center, Boston, MA. Peter Rosen, Senior Lecturer Emergency Medicine Harvard Medical School; Attending Emergency Physician Beth Israel Deaconess Medical Center; Visiting Clinical Professor Emergency Medicine University of Arizona; Professor Emergency Medicine University of California San Diego, MA. Editor-Chief: Amal Mattu, MD, Professor of Emergency Medicine and Vice Chair, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA. Dr. Mattu is one of the leading emergency medicine educators in the US and a strong advocate for geriatric emergency medicine training. He has authored or co-authored 5 books for Wiley, including his extremely successful ECGs for Emergency Physicians titles, which have been perennial bestsellers. Dr. Mattu is Consulting Editor for Emergency Medicine Clinics of North America; he is a popular speaker at conferences around the world and he has won multiple awards for his excellence in teaching, including national awards from the American College of Emergency Physicians, the American Academy of Emergency Medicine, and the Council of Residency Directors in Emergency Medicine.