11 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption for at least ... and procedural bleeding ... with a very low bleeding ... anticoagulation
Treatment algorithm for VTE in Malignancy

(A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
lead-in of at least ... DOAC, direct oral ... #DOAC #VTE #Malignancy ... #Anticoagulation ... #Management #Hematology
Anticoagulation for Atrial Fibrillation - CHA2DS2-VASc

I always tell my students, one of the first thing you
fibrillation in clinic ... guidelines recommend DOAC ... ONE non-sex risk ... TWO non-sex risk ... CHADS2VASC #Score #Management
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
risk outweighed ... of DOAC (vs VKA ... all patients in clinical ... Triple #therapy #anticoagulation ... #pharmacology #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... Avoid Warfarin and DOAC ... Postpartum Period • Breast-feeding ... suggest prophylactic anticoagulation ... support for patients clinically
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... Anticoagulation ... - what is the bleeding ... medical and surgical management
Longterm Venous Thromboembolism Treatment Algorithm
Treat for 3 months and reassess
 • Isolated distal DVT (without cancer)
Treat for 3 months ... PE - High Bleeding ... - Not High Bleeding ... #management #hematology ... #anticoagulation
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... placement (if bridging anticoagulation ... surgery (e.g. breast ... • Non-cataract ophthalmologic ... polypectomy) #Bleeding
Monkeypox

What?
Monkeypox virus belongs to the family Poxviridae, subfamily Chordopoxvirinae, and genus orthopoxvirus
Viral zoonotic disease that is
Characteristic Rash + risk ... three weeks Clinical ... rectal pain, rectal bleeding ... , and perianal areas ... MPOX #Diagnosis #Management
Unilateral Floppy Eyelid Syndrome

This middle-aged male reported to clinic for persistent blurry vision and irritation of
male reported to clinic ... He reported sleeping ... This is a great ... Our management for ... #video #ophthalmology