Tag Jeffrey R. Kirsch

Thiazolidinediones

Acknowledgment The authors would like to acknowledge the contributions of Drs. Ponnusamy Saravanan and Subramanian Sathiskumar to this chapter in the previous edition. Uses Oral insulin sensitizing agents for the treatment of type 2 DM. Their use in recent years…

Marijuana

Acknowledgment The authors would like to acknowledge the contributions of Drs. Joshua W. Sappenfield and Christopher T. Stephens to this chapter in the previous edition. Uses Antiemetic Appetite stimulation Analgesia Recreational Epilepsy Glaucoma Mood disorders Spastic disorders Perioperative Risks Cross-tolerance…

Amphetamines

Acknowledgment The authors would like to acknowledge the contributions of Drs. Edgar J. Pierre and Faisal Huda to this chapter in the previous edition. Uses Attention deficit hyperactivity disorder Weight loss Narcolepsy Recreational Perioperative Risks Possible increased requirement for volatile…

Wolff-Parkinson-White Syndrome

Risk WPW pattern (asymptomatic) prevalence: 0.15–0.25% in the general population and 0.55% in pts with a primary relative with WPW; autosomal dominant trait. WPW syndrome (ECG pattern and arrhythmia) prevalence is 0.005% to 0.07% in the general population and approximately…

Vitamin K Deficiency

Risk Vitamin K deficiency bleeding (VKDB) from abnormal factors II, VII, IX, and X. Controversy exists regarding whether vitamin K deficiency leads to osteoporosis, abnormal cartilage calcification, and possible arterial calcification resulting in CV disease. Perioperative Risks Minor or massive…

Pericardial Effusion

Acknowledgment The authors would like to acknowledge the contributions of Drs. Terence Wallace and Bruce D. Spiess to this text in the previous edition. Risk Occurs rarely May be seen after open-heart surgery or PTCA. Blood and/or serous May be…

Histiocytosis

Acknowledgment The authors would like to acknowledge the contribution of Drs. Jeremy Gibson and Meenakshi Dogra to this text in the previous edition. Risk LCH is the most commonly known form. Incidence: 1:250,000 in children, with about a third of…

Gastrinoma

Acknowledgment The authors would like to acknowledge Dr. Christine Piefer’s contribution to this text in the previous edition. Risk Occurs in about 0.1–3 cases per million, usually in pts aged 20–50 y; male/female predominance about equal. 65–80% of gastrinomas are…

Foreign Body Aspiration

Risk Most prevalent in children ages ≤3 y. In adults, elderly are most susceptible to FB aspiration. Risk factors include Alzheimer disease or dementia, stroke, loss of consciousness due to trauma, alcohol intoxication, or drug overdose. Foods are most commonly…