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 Pre-op work-up  



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Author11 Posts
  #1

What are the pre-op work-up of a 45 year-old female patient with long-standing rheumatoid artyhritis on mexothreate scheduled for a fem-fem bypass?




  #2

Hematocrait, CBC, CMP, Glucose, PT and PTT, S creatinine and BUN, LFTs


  #3

What about the most important test?


  #4

You forgot the most, most important pre-op tests !!!


  #5

You are the consultant in a community hospital and you were consulted to do a pre-op work-up.

Please give more specific pre-op work-up !


  #6

AAAAA wrote:
What are the pre-op work-up of a 45 year-old female patient with long-standing rheumatoid arthritis on mexothreate scheduled for a fem-fem bypass?


Most inflammtory diseases including rheumatoid diseases are classified as having cardiac risk factors !!



  #7

Question did not specify indication for bypass..
I may be missing something here..did you want echo or angio?
not sure.


  #8

Please review the pre-op work-up of medical patients with many medical problems going for major vascular surgery.

Those are very important stuff we have to review and I will give you the answer when you at least try to answer the question in a meaningful way !

Why the pt goes for fem-fem bypass, PVD !!


  #9

Question does not ask you for teh reason for the bypass, question ask you as a consultant what do you DO ?


  #10

As a consultant I would know the existing conditions, reason for bypass and natural history of disease progression.
Every single thing asked for pre-op had a reason that I am sure everyone can understand. and for sure I may be missing something important so let your knowledge be spread..


  #11

IN the case of PVD , the risk of comorbid coronary artery disease is 50%. in the regular basis there is no indication for assesment of coronary artery but in the pre op you must r/o it and if it sever you must treat it( maybe CABG ) before another operation. in this case ithink thallium scan is a good choice

whats your oponion AAAAA






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