Bowel Obstruction In The Elderly

Causes of bowel obstruction usually specific to the elderly include sigmoid volvulus, Ogilvie's Syndrome, colon carcinoma, and gallstone ileus. These conditions in the elderly patient can lead to gangrene with resulting perforation. Sigmoid volvulus is 20 times more likely in the patient age 60 yr and greater 19 . This age association may be due to acquired redundancy of the sigmoid colon. High-residue diets are believed to be the causative factor in developing a redundant sigmoid 20 . Other...

Clinical Features of Infections

Infections in the elderly often present in an atypical, nonclassical fashion. Furthermore, the differential diagnosis of infectious diseases in the elderly differs from the young because it is dependent on both the clinical setting and the patient's underlying functional status. For example, free living, independent, healthy elderly are prone to respiratory infections, such as bacterial pneumonia, genitourinary infections and intraabdominal infections including cholecystitis, diverticulitis,...

Herpes Simplex Virus Type Ii Hsv2

Genital herpes simplex virus HSV infection is not a reportable disease but is considered to be extremely common in the U.S. with approximately 45 million adults approx 22 of the population aged 15-74 yr estimated to be infected in 1990, based on the serologic results of a random sampling of civilian adults examined as part of the National Health and Nutrition Examination Survey NHANES III 12 . This represents a 32 increase compared to 1978, when the seroprevalence of HSV-2 was 16 among the...