Risk A common problem in neonates. Some types pathologic and some physiologic. Bilirubin may be unconjugated or conjugated; differentiating important for diagnosis. If pathologic, varying effect on management (e.g., sepsis, Rh incompatibility, GI obstruction, Gilbert, AVM, sickle cell, biliary atresia).…
Risk Estimated to be <1 in 1 million persons, but may be higher due to misdiagnosis and underreporting Rare: Approximately 100 cases reported in literature Perioperative Risks Severe hemorrhage out of proportion to plt count Transfusion reactions Worry About Severe…
Risk Affects age group between 20–40 y Nations along Silk Route have higher incidence Males and females are equally affected Perioperative Risks Increase in IOP during intubation in pts with uveitis complicated by glaucoma Pulmonary embolism Difficult airway due to…
Risk 1 per 13,700 individuals. No gender predilection, although with monozygotic twins it is seen more in females than males. Conceptions from IVF have a 3–5 times increased risk of BWS. Perioperative Risks Acute airway obstruction; difficult mask ventilation and…
Risk Prevalence is approximately 1:50,000 Perioperative Risks Myotonia Worry About Myotonic episode leading to a difficult to ventilate/intubate situation Overview Genetic disease that results in muscle membrane hyperexcitability and delayed relaxation Recessively inherited form of MC Initial symptoms start around…
Risk AD occurs with greatest frequency in pts with spinal cord injury at T6 or above. Occurs with highest frequency following urologic or lumbar and thoracic spine procedures. Tetraplegic pts develop AD if cystoscopy and lithotripsy are performed without anesthesia.…
Risk Rare Autoimmune hemolytic anemias occur in 1 of 80,000 persons; of these, 17.3% are due to cold antibodies. Perioperative Risks Acute hemolysis due to cold Hemoglobinemia Hemoglobinuria Rarely, vascular occlusion Worry About Cooling to 28–31° C will cause hemolysis.…
Risk Prevalence: First degree (0.65–1.6%); second degree (0.003% in young adults; higher in organic heart disease); third degree (overall 0.02%; congenital 1:20,000 live births); increases with age presumably because of small vessel disease Inferior MI: Carries low mortality even if…
Risk Incidence in USA: 140,000 with ostium secundum ASD (70–80% of ASDs). Accounts for 7% of all congenital cardiac defects but roughly one-third (30–40%) of congenital cardiac defects in pts older than 40 y. Gender prevalence: Females >males, with a…
Risk Ostium primum ASD is a variant of AV canal defect. Classified as an ASD, it is actually an endocardial cushion defect. Less common than secundum ASDs, this defect comprises 0.5-1% of all congenital heart defects, and 15-20% of ASDs.…