Saturday, August 20, 2011

Round

Round
Aug 17, 5:04 PM
Case AAA: pre-op; need stress test/Thallium scan; echo not suffice
Chronic limb ischemia: pulse may be 1+; segmental pressure - ABI, AP;
triphasic-biphasic-monophasic-flat line; ABI unreliable cuff 60 look
for dicrotic notch; CNO cannot occlude; see TP instead; some measure
TCOM; inflow, outflow/distal runoff; 5 steps; 4. CT angiogram 5.
Bypass/EVAR; control risk factor + good wound dressing; ABCDDEF
anti-platelet, BP, cholesterol, diet, don't smoke, exercise, foot care

PVR - pulse-volume recorder

Clexane before Heparin for DVT because faster
Triple Vessel Disease coronary
NG tube gastric content 80 OK
Stroke indication for surgery >50+symptomatic


Patarapol Withayasakpunt
5101006 SIMD/B

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