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

Tip of the Iceberg: The Problems

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. Aside from benign enlargement of the prostate other contributing factors to urinary retention in the elderly must be considered. In our patient it would include which of the following?
    A. UTI
    B. Constipation
    C. C. DM,
    D. Frailty
    E. Detrusor Underactivity
    F.  All of the Above


  2. Which of the following surgical procedures should not be recommended in patients over 80 years old?
    A. carotid endarterectomy (CEA)
    B. carotid angioplasty and stenting (CAS)
    C. femoral-popliteal bypass
    D. femoral-tibial bypass using autologous vein
    E. endovascular aneurysm repair


  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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