[Innovations in ambulatory care: screening, treatment and iatrogenicity].
This year we have selected six studies useful for the day to day practice. A mammography in women 40 to 49 years of age should be evaluated taking into account the patient's profile and the possible risks and benefits of this exam. In patients over 65 years of age, a systematic atrial fibrillation screening, with pulse rate measuring then ECG (if irregular beat) should be realised on a regular basis. The risks for complications following colonoscopies do exist, especially after biopsies/polypectomies and this risk should be discussed. Long term proton pump inhibitor treatment is a risk factor for hip fracture. It is important to treat high blood pressure problems in the elderly, but the orthostatic risks should be adressed. A corticoid treatment started quickly for Bell's palsy is efficient.
Bodenmann
P
P
PMU, Lausanne. patrick.bodenmann@hospvd.ch
Pasche
O
O
Jaunin-Stalder
N
N
Willi
C
C
Pasche
C
C
Ombelli
J
J
Cornuz
J
J
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000367:Age Factors; D000368:Aged; D000553:Ambulatory Care / Q000639:trends*; D001281:Atrial Fibrillation / Q000175:diagnosis; D020330:Bell Palsy / Q000188:drug therapy; D001706:Biopsy; D003111:Colonic Polyps / Q000601:surgery; D003113:Colonoscopy; D004562:Electrocardiography; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006620:Hip Fractures / Q000139:chemically induced; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D007049:Iatrogenic Disease; D008327:Mammography; D008403:Mass Screening; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000009:adverse effects; D011674:Pulse; D012307:Risk Factors; D013812:Therapeutics
D000305:Adrenal Cortex Hormones; D054328:Proton Pump Inhibitors