最近审阅: 29 十月 2020
最近更新: 19 四月 2018

小结

定义

病史和体格检查

其他诊断因素

  • 自诉
  • 病史不一致
  • 激越状态
  • 社交孤立
  • 身体损伤
  • 营养不良和血容量缺失
  • 药物使用不当
  • 物质滥用
  • 看护者支配
  • 褥疮
  • 仪表寒酸
  • 生殖器出血或创伤

危险因素

  • 发病年龄大于 75 岁
  • 痴呆
  • 依赖于看护者提供个人护理
  • 看护者抑郁或有其他精神疾病
  • 老人或看护者滥用药物
  • 看护者在经济上依赖于老人

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血小板功能检测
  • 基础代谢(包括尿素和肌酐)
  • 临床照片
  • X 线检查
更多 首要检查

需考虑的检查

  • 脑部 CT
  • 腹部 CT
  • 血清中相关药物水平
  • 毒理学筛查(尿液和血液)
更多 需考虑的检查

治疗流程

撰稿人

Assistant Professor

Department of Family and Geriatric Medicine

School of Medicine

University of Louisville

Louisville

KY

利益声明

JPG declares that she has no competing interests.

Professor Emeritus in Geriatrics

Department of Family and Geriatric Medicine

School of Medicine

University of Louisville

Louisville

KY

利益声明

JGOB declares that he has no competing interests.

Dr Josephine P. Gomes and Professor James O'Brien would like to gratefully acknowledge Dr Angela R. Wetherton and Dr Senthil R. Meenrajan, previous contributors to this topic. ARW and SRM declare that they have no competing interests.

同行评议者展开全部内容

Assistant Professor

Mayo Medical School

Jacksonville

FL

利益声明

KM has been paid as a speaker at the American College of Physicians annual meeting. KM has also been paid for consultation for the physician excellence program.

Assistant Professor of Medicine

University of Colorado School of Medicine and the Denver Veterans Affairs Medical Center

Denver

CO

利益声明

CL declares that she has no competing interests.

Associate Professor of Medical Gerontology

Department of Medical Gerontology

School of Medicine

Trinity College Dublin

Dublin

Ireland

利益声明

DON declares that he has no competing interests.

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