Background: In medical care for older patients, the presence of potentially inappropriate medications (PIMs) is associated with increased adverse outcomes [1, 2]. A wide range of medications with anticholinergic properties affects cognitive states of older patients have been regarded as PIMs [1, 3]. We purposed to assess clinical impact of anticholinergic cognitive burden on clinical [...]

Background: Ascorbic acid (AA) deficiency affects disproportionally the older population. The recognition of AA deficiency is elusive since we do not measure AA routinely. We assessed the influence of AA supplementation on hospitalization outcomes for community geriatric patients. Methods: Single-center, retrospective study of community-dwelling patients older than 65-years old admitted to a community hospital from [...]

Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley [...]

Case Presentation: The clinical signs of acute drug reaction are almost always none specific and rarely pathognomonic. We present a case of 15 years old male who after starting amitriptyline developed serotonin syndrome with marked neuroexcitatory, autonomic hyperactivity and acute encephalopathy. A 15-year-old male with recent below knee amputation (BKA) from a trauma requiring blood [...]