© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_37 37. Gout and Pseudogout Elizabeth Kaplan1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_36 36. Systemic Lupus Erythematosus Elizabeth Kaplan1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…
Methotrexate ▪Usually given once weekly ▪A prospective randomized trial of patients with RA undergoing elective orthopedic surgery showed fewer complications, infections, and flares in the group that continued methotrexate rather…
Prerenal Intrinsic renal Postrenal ▪Hypotension after anesthesia induction ▪Insufficient intraoperative hydration ▪High nasogastric (NG) tube output ▪Increased vascular permeability (“third spacing”) ▪Surgical site bleeding/drain output ▪Abdominal compartment syndrome ▪Gastrointestinal bleeding…
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_33 33. Chronic Kidney Disease Sabeena Setia1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…
Pulmonary causes Atelectasis Pulmonary edema Acute respiratory distress syndrome Interstitial lung diseases Connective tissue diseases Vasculitis, granulomatous diseases, hypersensitivity pneumonias Drug-related pulmonary fibrosis Radiation therapy Lung resection Extrapulmonary causes Obesity…
Time of VTE prior to surgery Risk of recurrent VTE after stopping anticoagulation Management Pre-op Post-op Within 1 month Approaches 50 % if stopped prior to 1 month Avoid surgery…
S = Snoring. Do you snore loudly (louder than talking or loud enough to be heard through closed doors)? T = Tired. Do you often feel tired, fatigued, or sleepy during daytime? O = Observed (apnea)….
Severity of pulmonary hypertension Comorbid features associated with increased riska Estimated surgical risk Suggested management strategy Severe disease One or more High Elective surgery: avoid surgery if possible • WHO class…
© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_28 28. Asthma and COPD Sabeena Setia1 and John H. Choe1 (1) Division of General Internal Medicine, Department of Medicine, University…
