Publications

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Recurrent Shingles in a Frail Nonagenarian

JAMDA
March 1, 2019
Herpes Zoster (HZ) is a neurocutaneous disease caused by reactivation of latent Varicella Zoster Virus (VZV). Although up to 20% of people develop shingles during their lifetime, it predominantly affects older individuals. The lifetime recurrent...

Proton Pump Inhibitors and Hypomagnesemia

JAMDA
March 1, 2019
Patient is a 73-year-old female with chronic kidney disease 3 who presented to the hospital with abnormal lab results through a primary care doctor's office. Magnesium level was 0.6 mg/dL and calcium 6.6 mg/dL despite being on chronic oral magnesium...

Misdiagnosis of Rapidly Progressing Necrotizing Fasciitis—A Close Call

JAMDA
March 1, 2019
Interdisciplinary discussions are tremendously important, especially during possible end-of-life cases. Prior to initiating potentially deadly end-of-life medications, a patient's general clinical picture should be taken into account.

It's the Antibiotic, Not the Infection: An Unusual Case of Delirium

JAMDA
March 1, 2019
Delirium is a common cause of hospital admission from nursing homes. This case discusses a nursing home resident admitted to the hospital for acute mental status changes (AMS) secondary to ertapenem-induced delirium. Increased awareness of this...

Human Immunodeficiency Virus in Octogenarians, Lessons for Long Term Care Providers

JAMDA
March 1, 2019
Relatively recent advancements have transformed Human Immunodeficiency Virus (HIV) from a rapidly progressive disease to a chronic health condition. The impact on the increasing number of these patients will continue to be seen in PA/LTC settings.

Hospital Discharge of Tuberculosis into a Skilled Nursing Facility: A Case Report

JAMDA
March 1, 2019
Skilled nursing facilities are familiar with mandatory requirements for screening for tuberculosis for patients and health care workers. However, they may not be as familiar with guidelines for admission and isolation of patients with active...

Cryptogenic Cirrhosis: Nonalcoholic Steatohepatitis Despite the Absence of Risk Factors?

JAMDA
March 1, 2019
Cirrhosis, a manifestation of end-stage liver disease, is said to be cryptogenic when the etiology of the destruction of liver architecture is unknown. We report an unusual case of cryptogenic cirrhosis due to nonalcoholic fatty liver disease (NAFLD...

Co-Residents in a Long-Term Facility-Can They Affect Mortality and Quality of Life?

JAMDA
March 1, 2019
Frontotemporal dementia (FTD) is a group of neurodegenerative disorders where there is atrophy of the frontal/temporal areas of the brain responsible for executive function and language. Primary progressive aphasia is a subtype of frontotemporal...

Cerebral Amyloid Angiopathy Limits Treatment of Stroke

JAMDA
March 1, 2019
Cerebral amyloid angiopathy (CAA) is a predominantly sporadic degenerative vasculopathy characterized by beta-amyloid deposition in the cerebral microvasculature, which may lead to lobar intracerebral and sulcal hemorrhage in older adults. Although...

Cardiac Limited Ultrasound Exam (CLUE) Protocol for CHF Management in a Skilled Nursing Facility Setting

JAMDA
March 1, 2019
Cardiac Limited Ultrasound Exam (CLUE) protocol using portable ultrasound has been being more widely adopted by clinicians to augment the bedside cardiac physical examination, especially for patients with CHF. We present a case to illustrate the...