Case Exemplar Patient Explained for Students (Easy Guide)
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Original Question
CASE EXEMPLAR: Patient With Recent Fall and Dizziness RG is a 76-year-old female who presents to the clinic for a follow up after a recent fall from getting “dizzy” while getting out of bed one morning. RG is very concerned this will happen again as she is afraid of “ending up in a nursing home.” Past Medical History • Barrett’s esophagus • Hypertension (controlled) • Neuropathic pain • Osteoarthritis • Osteoporosis Medications • Esomeprazole, 40 mg daily • Doxazosin, 4 mg daily • Amitriptyline, 100 mg at bedtime • Naproxen, 250 mg twice daily • Denosumab, 60 mg subcutaneous every 6 months • Vitamin D, 800 IU daily • Calcium citrate (elemental calcium 400 mg), one tablet three times per day • Aspirin, 81 mg for primary prevention of cardiovascular events Labs • Normal According to the 2019 AGS Beers Criteria, which of RG’s medications is/are potentially inappropriate given her falls history, and what is the rationale for its/their inclusion?
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