This devastating and fatal lung disease generally affects older adults, especially men, and can be mistaken for COPD.
The primary care physician can play key roles in diagnosis, referral, and long-term management.
Half of all postmenopausal women experience these symptoms. Most do not seek relief.
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.
From the Editor
We should periodically revisit the goals and rationale for all prescribed medications
Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.
Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.
More than one-third of older adults in the United States take 5 or more medications. Consider deprescribing.
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fit and the other is frail.