Evaluation of the elderly patient with weakness: an evidence based approach.

Abstract:

:Because of the altered physiology of the elderly population, either as a result of aging or as a result of other disease processes, many illnesses may present with features that are either atypical or nonspecific in nature. Difficult and nonspecific complaints such as weakness in an elderly patient must be handled in a judicious, cost-effective, comprehensive, and expeditious manner that benefits both the patient and the emergency department. This article addresses the evaluation of the elderly patient who presents to the ED complaining of weakness.

authors

Chew WM,Birnbaumer DM

doi

10.1016/s0733-8627(05)70056-0

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

265-78, x

issue

1

eissn

0733-8627

issn

1558-0539

pii

S0733-8627(05)70056-0

journal_volume

17

pub_type

杂志文章,评审
  • Observation unit management of heart failure.

    abstract::The acute exacerbation of HF can be treated successfully in the OU. There are significant benefits, such as admission avoidance, decreased 90-day readmissions, and decreased costs. HF requires a comprehensive management program with extensive involvement from a multidisciplinary team committed to improving care for th...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70176-0

    authors: Peacock WF 4th,Albert NM

    更新日期:2001-02-01 00:00:00

  • Management of human and animal bite wounds.

    abstract::One of the most common problems facing the emergency department physician is the management of bite wounds. Therapy for these common injuries is ill-defined and often controversial. This article outlines treatment guidelines for the emergency physician for dog bites, cat bites, rabies, snake bites, and human bites. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Rest JG,Goldstein EJ

    更新日期:1985-02-01 00:00:00

  • Noncardiogenic pulmonary edema.

    abstract::Pulmonary edema is differentiated into two categories--cardiogenic and noncardiogenic. Noncardiogenic pulmonary edema is due to changes in permeability of the pulmonary capillary membrane as a result of either a direct or an indirect pathologic process. It is a spectrum of illness ranging from the less severe form of ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(03)00020-8

    authors: Perina DG

    更新日期:2003-05-01 00:00:00

  • Subarachnoid Hemorrhage: Updates in Diagnosis and Management.

    abstract::Subarachnoid hemorrhage (SAH) is a neurologic emergency due to bleeding into the subarachnoid space. Mortality can reach 50%. The clinical presentation is most often in the form of headache, classically defined as maximal at onset and worst of life. The most common cause is traumatic; approximately 80% of nontraumatic...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2017.07.001

    authors: Long B,Koyfman A,Runyon MS

    更新日期:2017-11-01 00:00:00

  • Adolescent violence.

    abstract::Adolescents are the victims, perpetrators, and witnesses of violent acts in the home, at school, and on the streets. Adolescent violence describes a dynamic, destructive, and repercussive process. This article discusses the unique aspects of adolescent violence and the involvement undertaken by the emergency departmen...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70084-5

    authors: Grausz HM,Pelucio MT

    更新日期:1999-08-01 00:00:00

  • Law and ethics in emergency medicine.

    abstract::Ethical issues in emergency medicine often are accompanied by legal issues. Although the legal aspects of an ethical problem are important factors to take into consideration, the law may not directly address the problem, and following the law does not always ensure an ethical outcome. Emergency physicians should have ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70061-4

    authors: Derse AR

    更新日期:1999-05-01 00:00:00

  • Heat-related illness.

    abstract::Heat-related illness represents a continuum of disorders from minor syndromes such as heat cramps, heat syncope, and heat exhaustion to the severely life-threatening disorder known as heat stroke. It represents an important cause of wilderness-related morbidity and mortality. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2004.01.004

    authors: Lugo-Amador NM,Rothenhaus T,Moyer P

    更新日期:2004-05-01 00:00:00

  • Nursing perspectives on the emergency department.

    abstract::Although emergency departments (ED's) vary in shape, size, and technology, similarities in responsibilities exist. The primary responsibility is to provide quality health care to the communities served. The (ED) constitutes a substantial business in any hospital. Because of changing acuity levels, patient volume, and ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/S0733-8627(03)00099-3

    authors: Almeida SL

    更新日期:2004-02-01 00:00:00

  • Soft tissue wounds and principles of healing.

    abstract::Wound healing is a complex interchange, orchestrated between cellular components that play their respective parts signaled by and mediated by different cellular instruments of healing. When healing is performed well, the final product is a thing of beauty. When healing is delayed, interrupted, or excessive, then unsig...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2006.12.002

    authors: Strecker-McGraw MK,Jones TR,Baer DG

    更新日期:2007-02-01 00:00:00

  • Common dental emergencies. Evaluation and management for emergency physicians.

    abstract::Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Klokkevold P

    更新日期:1989-02-01 00:00:00

  • Rapid response systems: identification and management of the "prearrest state".

    abstract::Rapid response systems (RRS) are both intuitive and supported by data, but the institution of an RRS is not a panacea for in-hospital cardiac arrest or unexpected deaths. RRS implementation should be one component of an institution-wide effort to improve patient safety that includes adequate nursing education and staf...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2011.09.012

    authors: McCurdy MT,Wood SL

    更新日期:2012-02-01 00:00:00

  • Emergency Department Approach to the Patient with Suspected Central Nervous System Infection.

    abstract::Central nervous system (CNS) infections require early recognition and aggressive management to improve patient survival and prevent long-term neurologic sequelae. Although early detection and treatment are important in many infectious syndromes, CNS infections pose unique diagnostic and therapeutic challenges. The non...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2018.06.004

    authors: Jain R,Chang WW

    更新日期:2018-11-01 00:00:00

  • Obstetric and gynecologic emergencies.

    abstract::This article reviews the pearls and pitfalls of obstetric and gynecologic emergencies occurring in women presenting to the emergency department. Some pitfalls include failure to screen for ectopic pregnancy, tachycardia as an unreliable indicator of a ruptured ectopic pregnancy, and the use of serum hCG as a testing p...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70306-0

    authors: Nadel E,Talbot-Stern J

    更新日期:1997-05-01 00:00:00

  • Pulmonary embolism.

    abstract::Pulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clin...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2011.12.004

    authors: Ouellette DW,Patocka C

    更新日期:2012-05-01 00:00:00

  • Pharmacology in the Geriatric Patient.

    abstract::The aging population of the United States creates pharmaceutical challenges for the practicing emergency physician. Polypharmacy, drug-drug and drug-disease interactions, and other pharmaceutical complications from the pathophysiologic changes associated with aging need to be recognized in order to optimize outcomes i...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2016.04.003

    authors: Welker KL,Mycyk MB

    更新日期:2016-08-01 00:00:00

  • Clinical manifestation of pulmonary embolism.

    abstract::Results of prospective studies have shown that physicians' estimate of clinical likelihoods of PE have predictive value. The ability of clinicians to assess the factors that determine the probability of disease based on clinical manifestations such as history and signs and symptoms at presentation, and to make bedside...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70227-3

    authors: Lee LC,Shah K

    更新日期:2001-11-01 00:00:00

  • Sepsis in Special Populations.

    abstract::Sepsis is recognized by the presence of physiologic and laboratory changes that reflect the inflammatory response to infection on cellular and systemic levels. Comorbid conditions, such as cirrhosis, end-stage renal disease, and obesity, alter patients' susceptibility to infection and their response to it once present...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2016.08.006

    authors: Borloz MP,Hamden KE

    更新日期:2017-02-01 00:00:00

  • Carotid and vertebral artery dissections.

    abstract::Dissections of the carotid and vertebral arteries are a common cause of stroke in young adults. The diagnosis may be missed because the typical signs and symptoms are often delayed in onset, or easily confused with other more commonly encountered entities. Dissections of the carotid and vertebral arteries may occur sp...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70325-4

    authors: Stahmer SA,Raps EC,Mines DI

    更新日期:1997-08-01 00:00:00

  • Ultrasound diagnosis of deep venous thrombosis.

    abstract::The ultrasound diagnosis of deep venous thrombosis by an emergency physician is occurring with increased frequency. The examination is simple to perform and, when combined with a clinical pretest probability or D-dimer, can aid in the rapid disposition ofa patient with lower extremity pain and swelling. The technique ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2004.04.008

    authors: Tracy JA,Edlow JA

    更新日期:2004-08-01 00:00:00

  • Assessing capacity.

    abstract::Health care professionals often encounter patients who refuse a recommended treatment plan. Overriding a patient's right to autonomy has ethical, legal, and moral consequences. Incapacity is the determination by a physician that a patient lacks the ability to make informed decisions about his or her health care. The f...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70120-6

    authors: Miller SS,Marin DB

    更新日期:2000-05-01 00:00:00

  • Respiratory Emergencies in Geriatric Patients.

    abstract::Acute dyspnea in older patients is a common presentation to the emergency department. Acute dyspnea in older adults is often the consequence of multiple overlapping disorders, such as pneumonia precipitating acute heart failure. Emergency physicians must be comfortable managing patients with acute dyspnea of uncertain...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2015.08.003

    authors: Tyler K,Stevenson D

    更新日期:2016-02-01 00:00:00

  • HIV testing.

    abstract::Testing for HIV infection is not generally required for the appropriate treatment of medical emergencies. Current standard HIV tests rely on the detection of antibodies to the HIV virus and are among the most sensitive and specific tests used in medicine. Standard HIV tests can be unreliable for detecting infection in...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Hansen KN

    更新日期:1995-02-01 00:00:00

  • Medical planning for expeditions.

    abstract::Medical planning requires the expedition physician to draw from many aspects of the knowledge base of wilderness and environmental medicine and to learn and use lessons from those that have gone before. The medical plan is dependent on parameters of the expedition objective, scope, and resources and is developed coope...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Tek D

    更新日期:1992-05-01 00:00:00

  • Airway trauma.

    abstract::The mechanism of injury, diagnosis, and treatment of maxillofacial, laryngeal, tracheal, and bronchial trauma are considered. Also discussed is pulmonary barotrauma. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Meislin HW,Iserson KV,Kaback KR,Kobernick M,Sanders AB,Seifert S

    更新日期:1983-08-01 00:00:00

  • Surgical emergencies in the intravenous drug user.

    abstract::Numerous surgical complications arise from parenteral drug use. Some complications have severe sequelae and most prove to be a diagnostic challenge. It is likely that these problems will remain a significant burden on the health care system as a result of continued widespread drug abuse. EPs must always maintain vigil...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(03)00068-3

    authors: Calder KK,Severyn FA

    更新日期:2003-11-01 00:00:00

  • Electrical interventions in cardiopulmonary resuscitation: cardioversion.

    abstract::Although there are complications associated with cardioversion, they are relatively infrequent and usually of small magnitude compared with the primary disease. Cardioversion is an invaluable part of the emergency physician's armamentarium. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Pancoast P,Hamilton GC

    更新日期:1983-12-01 00:00:00

  • Approach to Patients with Epigastric Pain.

    abstract::Epigastric pain is an extremely common complaint in the emergency department and has an associated broad differential diagnosis. In the differential it is important to consider cardiac causes that may be mistaken for gastrointestinal disorders as well as various serious intra-abdominal causes. This article highlights ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2015.12.012

    authors: Robinson P,Perkins JC Jr

    更新日期:2016-05-01 00:00:00

  • Principles of prehospital care of musculoskeletal injuries.

    abstract::Prehospital management of musculoskeletal injuries in the traumatized patient is based on the application of a few basic principles in an orderly but expeditious manner. The patient must be assessed for immediate life-threatening conditions involving airway, respiratory, and circulatory functions while the cervical sp...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Worsing RA Jr

    更新日期:1984-05-01 00:00:00

  • Factors Affecting Emergency Department Crowding.

    abstract::Emergency department crowding is a multifactorial issue with causes intrinsic to the emergency department and to the health care system. Understanding that the causes of emergency department crowding span this continuum allows for a more accurate analysis of its effects and a more global consideration of potential sol...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2020.04.001

    authors: Kenny JF,Chang BC,Hemmert KC

    更新日期:2020-08-01 00:00:00

  • Hyperthyroidism.

    abstract::The clinical spectrum of hyperthyroidism varies from asymptomatic,subclinical hyperthyroidism to the life-threatening "thyroid storm". Hyperthyroidism is a common form of thyroid disease that mimics many of the common complaints in the emergency department. The diagnosis of hyperthyroidism is often challenging due to ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2005.03.002

    authors: McKeown NJ,Tews MC,Gossain VV,Shah SM

    更新日期:2005-08-01 00:00:00