Information Example Transplanted organ, indication, and date of transplant Liver transplant for hepatitis C cirrhosis 3 years ago Status of transplanted organ: Current function Transaminases, liver synthetic function (bilirubin, INR,…
Equipment needed: Timer and chair Directions: Patients wear their regular footwear and can use a walking aid if needed Begin by having the patient sit back in a standard armchair…
© 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_39 39. Decision-Making Capacity Kara J. Mitchell1 (1) Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle,…
© 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…
