Tag Henry Liu

Hyperparathyroidism

Risk Incidence in USA: 100,000 pts/y; increases with age Male:female ratio: 1:2; 0.8% in pregnancy Prevalence: 0.7% in general population; up to 3% in postmenopausal women Due to malignancy, vitamin D deficiency, sarcoidosis Perioperative Risks Hypovolemia and electrolyte disturbances Increased…

Graves Disease

Risk Incidence: Approximately 5:10,000; prevalence: 1.12%, with 1.3 million pts in USA. Female-to-male ratio: 7:1; more common in women age 30–60 y. Family history indicating genetic factor(s) can be involved. Perioperative Risks “Thyroid storm” due to surge of plasma thyroid…

Fanconi Syndrome

Risk FS can be inherited, acquired, or caused by exogenous factors. Incidence is sporadic. Exact incidence in USA is not clear. Most diseases associated with FS are inherited in an autosomal recessive pattern. Cystinosis is the most common cause in…

Factor V Leiden Mutation

Risk Most common hereditary thrombophilia Autosomal dominant inheritance pattern Heterozygous form in 5% of white population in USA (up to 15% in Europe), 2% of Hispanic Americans, 1% in both African and Native Americans Homozygosity in white population 1:5000 May…

Calcium Deficiency/Hypocalcemia

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…