From Bench to Bedside, Adventures in Perioperative Geriatrics


The Sixth Annual Meeting of the Section for Surgical and Related Medical Specialties of the American Geriatrics Society

Case Presentation: A Man with Urosepsis - The Bladder and Beyond

Below the Water Line: Factors Affecting the Outcome

Upon completion of this CME activity, the participant should be able to:

  1. Discuss disorders that may contribute to the decline in mobility and function that characterize urosepsis.
  2. Describe factors that may affect the outcome in a patient with urosepsis, including cognitive changes, wound healing and immune response

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  1. Which of the following is the most common form of perioperative morbidity in the elderly?
    A. Myocardial Infarction
    B. Pneumonia
    C. Delirium
    D. Venous Thromboembolism


  2. The best predictor of future lower extremity amputation is:
    A. History of foot ulcer/amputation
    B. Peripheral sensory neuropathy
    C. Vascular insufficiency
    D. Infection


  3. In a patient with a foot infection but no fever or leukocytosis, frequently the most prognostic sign of infection severity is:
    A. left shift in the differential count
    B. An elevated ESR
    C. Recalcitrant hyperglycemia
    D. Quantitative wound and blood cultures


  4. In a diabetic patient with osteomyelitis, x-rays may not demonstrate any osseous changes for up to:
    A. 7 days
    B. 14 days
    C. 21 days
    D. 30 days


  5. Which of the following tests or studies is considered the gold standard for diagnosing osteomyelitis when a concomitant wound is present?
    A. Plain radiographs
    B. CBC with differential
    C. ESR
    D. Bone biopsy
    E. Technetium bone scans


    6.    

     

     
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