Skip to main content
Top
Published in: Journal of General Internal Medicine 9/2020

01-09-2020 | Exercises in Clinical Reasoning

Overcoming Inertia: an Exercise in Clinical Reasoning

Authors: Julia Loewenthal, MD, Houman Javedan, MD, Andrea Wershof Schwartz, MD, MPH

Published in: Journal of General Internal Medicine | Issue 9/2020

Login to get access

Excerpt

In this series, a clinician extemporaneously discusses the diagnostic approach (regular text) to sequentially presented clinical information (bold). Additional commentary on the diagnostic reasoning process (italics) is integrated throughout the discussion. …
Literature
1.
go back to reference Tinetti ME and Kumar C. The patient who falls: “it’s always a trade-off”. JAMA. 2010;303(3):258–7.CrossRef Tinetti ME and Kumar C. The patient who falls: “it’s always a trade-off”. JAMA. 2010;303(3):258–7.CrossRef
2.
go back to reference Jansen RW and Lipsitz LA. Postprandial hypotension: epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995;122(4):286–95. Jansen RW and Lipsitz LA. Postprandial hypotension: epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995;122(4):286–95.
3.
go back to reference Gurwitz M, Monane M, Monane S, Avorn J. Long-term care quality letter. Brown University. 1995. Gurwitz M, Monane M, Monane S, Avorn J. Long-term care quality letter. Brown University. 1995.
4.
go back to reference The 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674–94.CrossRef The 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674–94.CrossRef
5.
go back to reference Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care. 2012;35:2650–2664.CrossRef Kirkman MS, Briscoe VJ, Clark N, et al. Diabetes in older adults. Diabetes Care. 2012;35:2650–2664.CrossRef
6.
go back to reference Rochon PA and Gurwitz JH. Optimising drug treatment for elderly people: the prescribing cascade. BMJ. 1997;315(7115):1069–9.CrossRef Rochon PA and Gurwitz JH. Optimising drug treatment for elderly people: the prescribing cascade. BMJ. 1997;315(7115):1069–9.CrossRef
7.
go back to reference Holmes HM, Min LC, Yee M, et al. Rationalizing prescribing for older patients with multimorbidity: considering time to benefit. Drugs Aging. 2013;30(9):655–66.CrossRef Holmes HM, Min LC, Yee M, et al. Rationalizing prescribing for older patients with multimorbidity: considering time to benefit. Drugs Aging. 2013;30(9):655–66.CrossRef
8.
go back to reference Yourman LC, Lee SJ, Schonberg MA, Widera EW, Smith AK. Prognostic indices for older adults: a systematic review. JAMA. 2012;307(2):182–192.CrossRef Yourman LC, Lee SJ, Schonberg MA, Widera EW, Smith AK. Prognostic indices for older adults: a systematic review. JAMA. 2012;307(2):182–192.CrossRef
9.
go back to reference Abraham NS, Hlatky MA, Antman EM, Bhatt DL, Bjorkman DJ, et al. ACCF/ACG/AHA 2010 Expert Consensus Document on the Concomitant Use of Proton Pump Inhibitors and Thienopyridines: A Focused Update of the ACCF/ACG/AHA 2008 Expert Consensus Document on Reducing the Gastrointestinal Risks of Antiplatelet Therapy and NSAID Use: A Report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. 2010;122(24):2619–33. Abraham NS, Hlatky MA, Antman EM, Bhatt DL, Bjorkman DJ, et al. ACCF/ACG/AHA 2010 Expert Consensus Document on the Concomitant Use of Proton Pump Inhibitors and Thienopyridines: A Focused Update of the ACCF/ACG/AHA 2008 Expert Consensus Document on Reducing the Gastrointestinal Risks of Antiplatelet Therapy and NSAID Use: A Report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. 2010;122(24):2619–33.
10.
go back to reference Ganz DA and Latham NK. Prevention of falls in community-dwelling older adults. NEJM. 2020;382(8):734–43. Ganz DA and Latham NK. Prevention of falls in community-dwelling older adults. NEJM. 2020;382(8):734–43.
12.
go back to reference Atkin PA, Veitch PC, Veitch EM, Ogle SJ. The epidemiology of serious adverse drug reactions among the elderly. Drugs Aging. 1999;14(2):141–152.CrossRef Atkin PA, Veitch PC, Veitch EM, Ogle SJ. The epidemiology of serious adverse drug reactions among the elderly. Drugs Aging. 1999;14(2):141–152.CrossRef
13.
go back to reference Scott IA, Hilmer SN, Reeve E, Potter K, Le Couteur D, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827–834.CrossRef Scott IA, Hilmer SN, Reeve E, Potter K, Le Couteur D, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827–834.CrossRef
14.
go back to reference Rudolph J, Salow, MJ, Angelini MC, McGlinchey RE. The anticholinergic risk scale and anticholinergic adverse effects in older persons. Arch Intern Med. 2008;168(5):508–513.CrossRef Rudolph J, Salow, MJ, Angelini MC, McGlinchey RE. The anticholinergic risk scale and anticholinergic adverse effects in older persons. Arch Intern Med. 2008;168(5):508–513.CrossRef
15.
go back to reference O’Mahony D, O’Sullivan D, Byrne S, O’Connor MN, Ryan C, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age and Ageing. 2015;44:213–218.CrossRef O’Mahony D, O’Sullivan D, Byrne S, O’Connor MN, Ryan C, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age and Ageing. 2015;44:213–218.CrossRef
Metadata
Title
Overcoming Inertia: an Exercise in Clinical Reasoning
Authors
Julia Loewenthal, MD
Houman Javedan, MD
Andrea Wershof Schwartz, MD, MPH
Publication date
01-09-2020
Publisher
Springer International Publishing
Published in
Journal of General Internal Medicine / Issue 9/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-05928-6

Other articles of this Issue 9/2020

Journal of General Internal Medicine 9/2020 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.