Medical and endocrine disease
30 cases, 8 of them in the Core.
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Every answer in Medical and endocrine disease has these
- Open with the operation, its urgency and the disease, then say how this disease changes this anaesthetic.
- Name the disease's specific dangers: the hormone or chemistry that is off, and which drug is banned for it.
- Correct what can be corrected before the knife, unless the surgery cannot wait.
- Say where the patient recovers and which specialist team follows them.
The cases
- Undiagnosed phaeochromocytoma unmasked at laryngoscopy Core
- Type 2 diabetes on a GLP-1 agonist and SGLT2 inhibitor for laparoscopic colectomy Core
- Diabetic ketoacidosis with suspected testicular torsion
- Down syndrome, type 1 diabetes and consent for cataract surgery
- Primary hyperaldosteronism with severe hypokalaemia for ankle fixation
- Long-term steroid therapy for total hip replacement
- Thyroid storm after urgent trauma surgery in unrecognised hyperthyroidism Coreand 1 more patient
- Severe untreated hypothyroidism for hip fracture fixation
- Severe hypercalcaemia from primary hyperparathyroidism with a perforated ulcer
- Acromegaly for laparoscopic cholecystectomy: the difficult airway
- Achondroplasia in an adult for prone lumbar decompression
- Cardiac amyloidosis for carpal tunnel release
- Cushing's disease for transsphenoidal pituitary surgery Coreand 1 more patient
- Hyperosmolar hyperglycaemic state with an infected obstructed kidney
- Central diabetes insipidus on desmopressin and postoperative hyponatraemia
- Carcinoid syndrome for liver ablation in radiology
- COPD with CO2 retention for laparoscopic fundoplication
- Motor neurone disease: sedation for PEG in endoscopy
- Systemic sclerosis for finger debridement under block
- Acute intermittent porphyria for urgent wrist fixation
- Rheumatoid arthritis for shoulder replacement in the beach chair
- Frail 89-year-old for emergency laparotomy Core
- Child-Pugh B cirrhosis for urgent laparoscopic cholecystectomy Core
- SLE with antiphospholipid syndrome on warfarin for mastectomy
- HbSS sickle cell disease: elective laparoscopic cholecystectomy Core
- Recent COVID infection before rectal cancer surgery
- Missed dialysis and hyperkalaemia for urgent hernia repair Core
- Von Willebrand disease for open myomectomy
- Methaemoglobinaemia at bronchoscopy in G6PD deficiency
- Alcohol use disorder and withdrawal after ankle fixation