Titlebook: Common Surgical Diseases; An Algorithmic Appro Keith W. Millikan,Theodore J. Saclarides Book 19981st edition Springer Science+Business Medi

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Preoperative Nutritional Assessmentrse and throughout treatment is essential. The most cornmon nutritional deficiency is protein-calorie malnutrition, the least common is vitamin or mineral deficiency; multiple factors can contribute to either. The clinical examination may reveal obvious problems which lead to or result from nutritio

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Acute Transfusion Reactionsay signal either an anaphylactic or acute hemolytic reaction. . reactions typically occur in IgA deficient patients who have been transfused before and are thus sensitized to IgA. This type of reaction causes hypotension, facial edema, and laryngeal edema leading to wheezing, stridor, and possible a

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Intraoperative Coagulopathyer surgical goals. The surgeon must be familiar with techniques to control both diffuse coagulopathic bleeding and problems of local hemostasis. Generally, diffuse intraoperative bleeding (coagulopathy) does not occur if platelet counts are greater than 50,000 and PT/aPTT are less than 1.5 times con

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Asymptomatic Carotid Bruits involved artery. Since stroke is the third leading cause of death in the United States and is most often due to disease of the carotid artery, all bruits should be evaluated with respect to whether or not they are clinically significant, causing symptoms, and whether or not surgical correction is j

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Head Traumansciousness, other causes such as shock, seizures, metabolic disturbances, intoxication, and others must be considered. A systematic approach to the unconscious trauma patient should provide for expedient diagnosis and treatment. As in all trauma patients, the initial evaluation begins with the “A,B