Tag Lee A. Fleisher

Urticaria, Cold

Risk Higher incidence found in regions with colder climate Prevalent in all races and genders; most commonly seen between ages 10–40 y Perioperative Risks Can develop urticaria and/or angioedema with skin cooling and rewarming Systemic shock-like reactions can occur with…

Urinary Lithiasis

Risk Annual incidence of stone disease is 16.4 per 10,000. Lifetime prevalence is 1–15%, although this varies with age, gender, race, and geography. Men are affected 2-3 times more often than women, but this varies with race. Racially, prevalence highest…

Upper Respiratory Infections

Risk Most adults will suffer 1 URI per year; this incidence jumps to approximately 6 episodes per year in the pediatric population. Approximately 95% of the infections have a viral etiology. URIs are generally self-limiting; however, airway hyperreactivity may persist…

Syndrome X

Risk True incidence unknown Postmenopausal or posthysterectomy women most often at risk Common cause of chest pain in women with angiographically normal coronary arteries Linked to adverse cardiovascular outcomes and a poor quality of life No diagnostic test Perioperative Risks…

Subphrenic Abscess

Risk Prior abdominal surgery, either open or laparoscopic Blunt or penetrating trauma GI perforation (malignancy, appendicitis, diverticulitis) Inflammatory bowel disease Immunocompromised pt Perioperative Risks Developing sepsis Worry About Respiratory compromise (pleural effusion, atelectasis, V/Q mismatching, ARDS) Preop ileus/bowel obstruction; aspiration…

Spinal Cord Injury

Risk In USA, trauma is the number one cause. Approx 10,000–12,000 cases per y. Males (80%) primarily affected. Motor vehicle collisions, falls, violence (GSW), sports-related injuries, hematoma, and transverse myelitis most common. Perioperative Risks Hypotension, particularly in acute injury resulting…

Smallpox

Risk Declared eradicated worldwide in 1980. Two repositories hold the variola virus: VECTOR in Koltsovo, Novosibirsk, Russia, and the CDC in Atlanta, Georgia, USA. Potential agent of bioterrorism. Vaccinations are not administered to the general public. In 2007, ACAM2000, the…