Critical illness has been documented since the beginning of recorded history, an inherent component of the human experience. However, critical care is a recent development made possible by the technical and scientific advances of the 20th century. If the whole…
Key Points ▪ Deontologic (“rules-based”) ethical theory and utilitarian (outcome-based) theory clash in clinical scenarios in which the interests of individual patients are pitted against the interests of larger populations. ▪ In the United States, the predominant medical ethical principle…
Risk Incidence in USA more than 25 million Highest prevalence: Hispanics and Native Americans Gender predominance: None Metabolic syndrome associated with obesity and sedentary lifestyle Perioperative Risks Increased risk 5–10 times if end-stage renal disease, CV, CHF, or autonomic neuropathy;…
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…