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PRESSURE ULCERS -PRESSURE

pressure ulcer on the inner face of the first finger in a man of 89 years with advanced degenerative dementia, caused by the pressure by squeezing the fingers .

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hip osteoarthritis, hip osteoarthritis

involvement of the hip arthritis, osteoarthritis is a common site, being sometimes the only joint involved and in other co-exists with other locations.

Its main manifestation is pain in the groin, mechanical type, which occurs with movement bending and separation of the hip and tends to radiate from the anterior or lateral thigh to the knee and cause lameness when walking, giving pain with rest.

The evolution of the disease is highly variable, and there are cases that remain stable for years and others that evolve quickly.

Treatment includes general measures to avoid being overweight, physical exercise, physical therapy, painkillers or anti-inflammatory drugs, use of cane and surgery.

The history, clinical examination and radiography of the hip are the diagnostic procedures employed.

The image belongs to a man of 70 years, shows radiological changes of osteoarthritis (joint space clamping, subchondral sclerosis with increased bone density, subchondral cysts and osteophytes), mild right hip and very severe on the left.

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anorexia, cachexia, MALNUTRITION

practice Monograph on anorexia-cachexia and malnutrition in patients with cancer that can be applied to other pathologies with this syndrome in the elderly may be dementia, heart failure ..
is author Dr. Paula J. Fonseca, Medical Oncology Service of Hospital Universitario Central de Asturias, Oviedo, Spain.
After a brief introductory chapter and another on the prevalence syndrome, in Chapter 3 devotes a section to make a good summary of the pathogenesis and two paragraphs to the demonstrations clínicas.Para diagnosis, which devotes a chapter, the history and physical examination including anthropometric data, are actions basic. They are also very useful scales recommended to assess quickly the risk of malnutrition, Malnutrition Screening Tool-MST, and the scale VGS-GP-Generated Subjective Global Assessment, Patient useful for deciding on the action nutricional.Un apart for the treatment of anorexia, which cites that the megestrol acetate is the only one that has shown benefit in improving appetite, one for the dietary management where information of the different diets (nutritional supplements, diet adapted, nutrient modules ..) and a third section on the therapeutic approach according to the degree of malnutrition calculated VSG-GP scale completes the chapter treatment. The monograph ends with some nutritional tips to prevent cancer and some brief conclusions.
Rottapharm-pharmaceutical company Madaus distribute this publication.

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ERECTILE DYSFUNCTION

Although erectile dysfunction (ED) is not a frequent complaint in our geriatric consultation services, which is geared to geriatric patients referred over 75 years with chronic pluripathologies dependent for their care, and presence of any of the so-called geriatric syndromes, incontinence, cognitive impairment, falls, ..- members of the Geriatric Department of Hospital de Navarra, Pamplona, \u200b\u200bSpain published in English Journal of Geriatrics and Gerontology, Vol.45 No. 06, a review entitled "Physiopathological aspects and clinical treatment of erectile dysfunction in the elderly, highlighting multicausal of disease, its relation to cardiovascular disease, the importance of history and exploration for a diagnostic approach (currently under-diagnosed) and therapeutic choice adecuada.Los authors make a good review of those drugs that can promote DE. Knowing
aspects of sexuality of our elders and ask for her medical appointments (less than half of doctors do) can improve the quality of life in this age of psychosocial and clinical implications associated with this type of situation or pathologies.