The Clinical Problem Solvers

DECEMBER 3, 2019

G is a 66-year-old woman with a past medical history of insulin-dependent diabetes and peripheral artery disease admitted from clinic with concern for left ankle and foot cellulitis. She has been evaluated three times over this period, and each time she was diagnosed with cellulitis. All are important considerations here.

Diagnosis 52

Diagnosis Diabetes Diagnose Clinic 52

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. But then there is incontinence, which is the same term, same word, but actually presents as a geriatric syndrome. It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. If you could wave a magic wand to change one thing: sleep, blood pressure control, eradicate diabetes, get everybody exercising, what do you think would have the most bang for the buck in terms of dementia reduction? Kristine: Can I say age?

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 17, 2024

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Eric 12:05 Any pearls on the diagnosis of HFpEF. Eric 13:28 Thank you. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. And we’ve been diagnosing it at Penn. And that could extend beyond 18 months.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 19, 2025

You present your. Is that because they have higher rates of chronic conditions like diabetes, coronary disease, tobacco use, things like that, or is there something else that’s going on? And this could be reflect or manifested in terms of your mannerisms, the way that you speak, the way that you carry yourself, the way that you.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115