Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124

Risk Incidence in USA: 15–20 million chronic heavy ethanol users. As much as 50% of dilated cardiomyopathy may be ethanol-related. Population at risk: Unclear; likely includes chronic ethanol users with at least 90 g of daily ETOH for at least…

Risk Overall incidence: 2 pts per 10,000 population 2% incidence due to trauma in penetrating injuries Post-cardiac surgery: Greater incidence after valve replacement (0.6%), compared to CABG (0.2%) Perioperative Risks Early diagnosis and prompt treatment are crucial in mitigating mortality…

Risk Carcinoid is the most common GI endocrine tumor. 15 cases in 1 million population per y. Seen in fewer than 20% of pts with carcinoid. Diagnosis Urinalysis for 5-HIAA and serotonin levels Platelet serotonin levels Serum chromogranin A CT…

Risk CO is the predominant toxic gas in smoke. (COHb can reach 10% in tobacco smokers.) CO poisoning is a major cause of death (early symptoms may be only headache and dizziness). CO is produced by all internal combustion engines,…

Risk Risk occurs in pts with suppressed immune systems from diseases like AIDS, chemotherapy drugs, and extended steroid therapy. Risk factors include current and recent broad-spectrum antibiotic therapy. Diabetes, leukemia, and neutropenia also increase risk. IV hyperalimentation and prolonged ICU…

Risk Lung cancer is the primary cause of cancer death. Asbestos exposure increases risk 5-fold. Smoking increases risk 15-fold. Radon exposure increases risk 2-fold. Perioperative Risks Associated CAD Pulm insufficiency following lung tissue resection Worry About Optimization of preop pulmonary…

Risk Incidence in USA: 4.39:100,000 in white men, 2.0:100,000 in white women, 8.63/100,000 in African-American men, and 4.2:100,000 in black women. Adenocarcinoma more common in white men, while SCC highest in black men. Overall mortality rate is 4% (white) to…

Risk 100 times more common in women than men. Besides skin cancer, most common cancer in USA for women; 1 in 8 women develop breast cancer; a man’s lifetime risk is about 1 in 1000. Most significant risk factors for…

Acknowledgement I wish to thank Dr. Andrew Dziewit for his work on this chapter in an earlier edition of this book. Risk Primary risk factor is smoking; smokers are more than twice as likely to get bladder cancer compared with…

Risk Common in critically ill pts and may be as high as 88% in ICU pts Perioperative Risks Neuromuscular instability leading to seizure, laryngospasm, bronchospasm, or resp arrest Impaired cardiac function causing heart failure, hypotension, and dysrhythmias Worry About Symptomatic…