An 85-year-old patient comes to the clinic for a routine checkup. As part of the Medicare Annual Wellness Visit, you
An 85-year-old patient comes to the clinic for a routine checkup. As part of the Medicare Annual Wellness Visit, you ask him if he has had any falls. He reports that he had two falls over the past year, slipping once on a wet floor and tripping once on a throw rug. He reports no neurological or cardiovascular symptoms at the time of the falls, and he sustained no injuries. Medical history is significant for gout, osteoporosis, and bilateral cataracts. Medications are allopurinol, vitamin D, and calcium citrate. His vital signs and physical examination are unremarkable except for significant thoracic kyphosis and mild cataracts bilaterally. What is your next step in the evaluation and management of this patient? Choose the single best answer. A. Assess for undiagnosed alcohol use disorder B. Check a Timed Up and Go (TUG) test C. Consult ophthalmology D. Order hip protectors E. Refer to physical therapy
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