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AAAAA
Forum Fanatic Topics: 159 Posts: 2013 |
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?
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sachida
| Forum Guru  Topics: 62 Posts: 734
Hematocrait, CBC, CMP, Glucose, PT and PTT, S creatinine and BUN, LFTs
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
What about the most important test?
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
You forgot the most, most important pre-op tests !!!
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
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 !
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
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 !!
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sachida
| Forum Guru Topics: 62 Posts: 734
Question did not specify indication for bypass.. I may be missing something here..did you want echo or angio? not sure.
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
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 !!
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AAAAA
| Forum Fanatic Topics: 159 Posts: 2013
Question does not ask you for teh reason for the bypass, question ask you as a consultant what do you DO ?
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sachida
| Forum Guru Topics: 62 Posts: 734
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..
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MAZI
| Forum Newbie Topics: 8 Posts: 255
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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