26 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
✖ For patients taking ... effect prior to surgery ... ) to determine timing ... per treatment table ... Low Bleed-Risk Surgery
Diagnostic approach to a limping child with an antalgic gait. 

(CBC = complete blood count; CRP
approach to a limping ... #Limping #Antalgic ... #Gait #Algorithm ... Pediatrics #Diagnosis #Workup
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... Differential Diagnosis Algorithm ... Bariatric surgery ... #Pancytopenia #Workup ... Differential #Diagnosis #Algorithm
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... Differential Diagnosis Algorithm ... Bariatric surgery ... #Pancytopenia #Workup ... Differential #Diagnosis #Algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Provoked (e.g. surgery ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
Previous abdominal surgery ... canal exists • Timing ... the forearm • Timing ... Hemodialysis #comparison #table
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Algorithm for the ... Previous gastric surgery ... Diarrhea #management #algorithm ... #workup #diagnosis
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
initial treatment algorithms ... • Tx: urgent surgery ... conservative, surgery ... differences #diagnosis #table
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
supply, duration of surgery ... Consider stopping surgery ... Consider continuing surgery ... until patient is stable ... Diagnosis #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
optimized before surgery ... functional status - Able ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients