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Dysguesia in the Elderly

Dysguesia in the Elderly. Quratulain Syed, M.D. Emory University School of Medicine, Atlanta, GA. Disclosure. No Financial Disclosures. Learning Objectives. Describe the association between taste and smell disorders Describe the commonly prevalent etiologies of taste disorders

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Dysguesia in the Elderly

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  1. Dysguesia in the Elderly Quratulain Syed, M.D. Emory University School of Medicine, Atlanta, GA

  2. Disclosure • No Financial Disclosures

  3. Learning Objectives • Describe the association between taste and smell disorders • Describe the commonly prevalent etiologies of taste disorders • Describe initial assessment and management of taste disorders in primary care settings

  4. Case Scenario • Ms. Smith is an 89 year old female nursing home resident admitted to hospital for failure to thrive. • loss of appetite • Lack of taste in food • 25 lb weight loss in the past 6 months

  5. Background Dysgeusia can impact: • enjoyment of food • nutritional status • management of chronic diseases

  6. Anatomy

  7. Overlap of taste and smell disorders (Deems, Doty et al. 1991)

  8. Statistics-community dwellers (Bhattacharyya and Kepnes 2015)

  9. Institutionalized Elderly (Glazar, Urek et al. 2010)

  10. Hospitalized Elderly (Solemdal, Sandvik et al. 2014)

  11. Hospitalized Elderly (Solemdal, Sandvik et al. 2014)

  12. Hospitalized Elderly (Toffanello, Inelmen et al. 2013)

  13. Etiology • Upper respiratory infections • Head trauma • Medications • Oral/dental health • Chronic diseases • Nutritional deficiencies

  14. Medications Associated with Dysgeusia

  15. Oral and dental conditions • Xerostomia • Dentures issues • Dental caries • Periodontal disease • Candidiasis, stomatitis • Dental-alveolar infections

  16. Chronic Diseases • Diabetes • Untreated hypothyroidism • Chronic kidney disease • Chronic hepatitis C • Heart disease • Cognitive disorders • Parkinson’s disease • Head and neck cancer

  17. Nutritional Deficiencies • Zinc • Vitamin A • Vitamin B12 • Hyponatremia

  18. Management (Syed, Hendler et al. 2016)

  19. Follow up on Ms. Smith • Review of medicines • Dietician consult • Treatment of periodontal disease

  20. Conclusion • Recognize dysguesias in older adults presenting with weight loss • Look into: • Oral health • Medicine list

  21. Questions/Comments

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