9 results
Causes of Falls in the Elderly - Differential Diagnosis Algorithm
- Intrinsic Factors - 
Presyncope / Syncope
Causes of Falls ... Neurological / Psychiatric ... Polypharmacy - esp. > 4 medications ... #Elderly #Geriatrics ... #Causes
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
Causes of Dizziness ... Musculoskeletal Problem • Drugs ... Psychiatric Disease ... Somatization #Dizzy ... #Causes
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo Algorithm ... Associated with nausea ... with frequent falls ... #dizzy #differential ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... vomiting, auditory symptoms ... Imbalance, neurologic symptoms ... /signs, bidirectional ... Hemorrhage #Dizzy
Causes of Urinary Incontinence - Differential Diagnosis Algorithm
 - Transient - Easily reversible cause (DIAPPERS)
Differential Diagnosis Algorithm ... Psychological/psychiatric ... Contraction - Signs ... anticholinergic medications ... #Mnemonic #Geriatrics
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
presyncope, exertional symptoms ... positive Romberg sign ... Contributing Factors • Medications ... slippery surfaces • Psychiatric ... Differential #Evaluation #Geriatrics
What is Asymptomatic Bacteruria (ASB)?
Bacteriuria (isolation of urinary pathogen at ≥10^5 CFU/mL in mid-stream urine) in
genitourinary signs ... Decreased balance, falls ... Missing the true cause ... , Adding to medication ... burden & drug interactions
Differential Diagnosis: New-Onset Seizure in the Elderly

STRUCTURAL:
 • Stroke/TIA, Subdural hematoma, mass
 • Traumatic Brain Injury
Acute Injuries: Falls ... withdrawal • Drug ... withdrawal • Medication ... cardiovascular causes ... #Geriatrics
Serotonin Syndrome: Pathogenesis and Clinical Findings
Serotonin Syndrome: Variable combination of mental status changes, autonomic instability, and
ingestion and most cases ... weight loss agents, drugs ... Pathophysiology #Psychiatry ... #Diagnosis #Signs ... #Symptoms