02-26-2008, 06:03 AM
please can someone describe how to manage elderly abuse, I will appreciate it.
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Tocricoid or some good soul - ruman
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02-26-2008, 09:19 AM
hi ruman,
depends upon how the case is presented... i have at least one or maybe 2 elder abuse ccs taken from the forum... other ppl's work not mine..... let me find it... will post it for you....later..... 
02-26-2008, 03:14 PM
Thanks, my exam is day after tomorrow. I will appreciate your help.
02-26-2008, 03:20 PM
this was posted by clutzz2000 on mt request...he/she scored in the 90's.. this was clutzz's actual case.... in real exam... elderly abuse was a demented lady at a resi home...admitted because looking unwelll.....she screams whenever a male attendant approaches her over the last few weeks and appears frightened.....do a complete examination and u will find some genital abnormality..... with this in mind u should suspect elder abuse admit the patient doall the rouitine blood tests pap smear....hiv test...hep......swabs....gm stain..... in mine she was positive for trichomonas which is transmitted by semen....so treat her with metro informspocial serivces contact family involve clinical psycologist/psychiatrist for counselling.....
02-26-2008, 03:27 PM
now if pt is all bruised up... skeletal survey
do PT, PTT & INR Of course basic CBC, CMP, CXR, EKG, UA, URINE Cx... head injury/confused....Head CT... bruising on belly think blunt trauma to pancreas...get LFTs, amylase & lipase... NH pt....suspecting malnutriion.... albumin... i hope other forum players will add too... good luck for your exam... are you one of the silent observers???? most of them disclose themselves...to thank the forum ....after passing....my observation do let us know about your exam experience...
02-26-2008, 03:31 PM
ruman this is the 2nd CCS case on the same topic... got it from the forum....forgot the name of the person who posted it... not my work... ELDERLY ABUSE: complete examination... skin/HEENT/CVS/RS/abdo/rectal/genital/neuro/neuropschy treat for wounds burns order CPK CBC with differential BMP LFT Amylas/lipase TSH UA pevic examintion with koh wet mout chlamy dna or gram stain forgonnococal..if sexual abuse CT Abdomen if organ damage suspected X ray if fracture skeletal survey/bone scan Admit inform the social service consult the psychiatris treat for fracture by Coagulation studies.............bruising need to check certain drugs if suspecting overdose of pt's daily drugs.... also drug levels to see if he is getting the durgs he needs....to r/o with holding of drugs he needs. |
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