anticoagulation
My Recoverying Myelin: Case for Discussion, Week of June 1, 2009
A 67 year-old male presents for revision ORIF of his left elbow.
He has multiple comorbidities including ischemic heart disease (maximal exertion estimated at 3 METS) with multiple drug-eluting stents placed 14 months ago, diabetes (most recent HbA1C of 12), stroke with residual left-sided weakness, COPD, hypertension, and obstructive sleep apnea requiring 5cm H2O CPAP at [...]
Tapping into the Alternatives: Case for Discussion, Week of April 6 2009
58 y/o F presenting for radical cystectomy.
The patient has a history of chronic opioid use secondary to a back injury 15 years ago. She (and the surgeon) are quite concerned with post-operative pain management. Previous attempts to manage her post-operative pain following total abdominal hysterectomy were less than satisfactory, despite pre-emptive analgesia with lyrica, [...]
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