Geriatrics

Question 1

Associated with 20% mortality in >65yo

Answer 1

Rib fractures, increase by 19% for every rib

Question 2

Physiologic changes in elderly; cardiac, respiratory, renal, CNS, GI

Answer 2

Increased vascular wall thickness, reduced lung compliance, reduced renal blood flow/clearance, loss of neuron mass, reduced first pass metabolism

Question 3

Most common post-op complication in the elderly

Answer 3

Delirium

Question 4

Surgical tx for metastatic gastric cancer with SBO and high risk for palliative operations

Answer 4

Venting gastrostomy