Posts tagged with "Geriatrics"

November 24th, 20140102 This photo is from an elderly woman with newly diagnosed Alzheimer's disease. Exelon (rivastigmine) patch was prescribed. However, upon follow-up, a coin-shaped itchy erythematous patch was found over the right anterior tibial region. On further questioning, it was found that the patient has wrongly applied the patch onto her lower limb...

November 24th, 20140112 This elderly woman has underlying chronic obstructive pulmonary disease and is currently on long term inhaled corticosteroids (becloforte). She complained of poor appetite. Examination showed presence of oral thrush (candidiasis). Patient was prescribed with nystatin oral drops and was advised to rinse her mouth after the usage of...

November 24th, 20140599 This photo shows the "half and half nails" (Lindsay's nail) of a 70 years old woman with underlying diabetic nephropathy resulting in stage IV chronic kidney disease. Lindsay's nails are characterized by having the proximal portion of the nail white and the distal half red, pink or brown with a sharp line of demarcation between the two...

November 24th, 20140120 This photo shows presence of onychomycosis affecting the nail of the right thumb. The distal nail plate is turned yellowish with hyperkeratotic debris underneath.

November 24th, 20140127 This elderly man is on long term oxygen due to chronic obstructive pulmonary disease. He recently complained of irritation of the right eye. The eyelashes of the right eye was stuck with yellowish crust. The patient was diagnosed to have staphylococcal blepharitis of the right eye and was managed with a 2 week of chloramphenicol ointment...

November 24th, 20140129 An 83 years old man presented with progressive walking difficulty for 1 year with recurrent falls, progressive slowing of verbal response and urinary incontinence. Physical examination showed apraxia of gait but there was no evidence of parkinsonism. CT brain of this patient showed dilated ventricles. Lumbar puncture was performed...

November 21st, 20140423 Abbreviated Mental Test The Abbreviated Mental Test is a very simple screening test for cognitive function. Mini-Mental State Examination This questionnaire is the Cantonese version of the Mini-Mental State Examination (CMMSE) and is a test of global cognitive function, which includes assessment of orientation, attention,...
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