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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Disc degeneration
Discectomy
B.6. When should surgery be considered?
B.7. What surgical options are available for the treatment of disc disease or lumbar spinal stenosis?
microdiscectomy
percutaneous
percutaneous - B.4. What are some of other approaches in minimally invasive interventions?
Discography/discogram/discomanometry
See Intervertebral discs
A.1. What is the differential diagnosis for the evaluation of back pain?
A.10. What are the appropriate diagnostic studies for low back pain?
A.3. What are the major anatomic landmarks of the vertebral column? Where does the spinal cord terminate, and where do the nerve roots exit the spine? What is the blood supply to the spinal cord?
A.4. How are minor, major, and complex spine surgeries classified?
A.6. What are the potential sources of pain in the spine?
A.7. What is the anatomy of the intervertebral discs? What is the mechanism of pain from herniated discs?
B.2. What is the pathophysiology of neurogenic bladder/bowel? What conditions can cause neurogenic bladder/bowel?
B.4. What are some of other approaches in minimally invasive interventions?
B.7. What surgical options are available for the treatment of disc disease or lumbar spinal stenosis?
C.19. What are the clinical characteristics, causes, and prognosis of TURP-related blindness?
Low Back Pain and Sciatica
See Intervertebral discs
Disseminated intravascular coagulation (DIC)
in acute coagulopathy of trauma - C.13. What is acute coagulopathy of trauma (ACT)?
in malignant hyperthermia
in obstetric hemorrhage - C.16. What is disseminated intravascular coagulation (DIC)?
in preeclampsia - A.9. Discuss the pathologic alterations of preeclampsia.
in TURP
removal of epidural catheter in - C.16. What is disseminated intravascular coagulation (DIC)?
Distal filter
Distal occlusion device
Distracted straight leg raise
Distraction, for cancer pain
Distributive shock
Diuretics
for ascites
for heart failure
for hyperkalemia
for hypertension
for intracranial hypertension
for intracranial procedures - C.8. How would you approach diuretic therapy?
for kidney transplantation
for patent ductus arteriosus
hypokalemia with
mechanism of action
See Diabetic ketoacidosis (DKA)
A.4. What are the complications of DM?
A.5. How are the different forms of DM treated?
A.8. What are the principles of management of diabetic ketoacidosis (DKA)?
B.1. How should this patient be evaluated?
B.4. How should this patient be prepared for anesthesia and surgery?
B.5. For elective surgery, how are DM medications and glucose requirements managed in advance of surgery?
Dextrose
Diabetes Mellitus
Insulin
See Diabetic ketoacidosis (DKA)
See Diffusing capacity for carbon monoxide (DLCO)
A.1. What are the causes and expected manifestations of interstitial lung disease in this patient, and why is he a transplant candidate?
A.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
B.1. How would you evaluate the patient prior to surgery?
B.2. What are the pulmonary function guidelines that indicate an increased risk for morbidity and mortality?
B.3. What are the preoperative concerns of induction immunotherapy and neoadjuvant chemotherapy?
See Double-lumen endotracheal tube (DLT)
A.10. If the patient has a widened mediastinum on the chest radiograph, what are your concerns?
Bronchoscopy, Mediastinoscopy, and Thoracoscopy
C.10. What types of bronchial blockers are available? What are the advantages and disadvantages of bronchial blockers?
C.16. What respiratory parameters will you target during OLV? How could you improve oxygenation during OLV?
C.17. A right middle lobectomy was performed. Would you extubate the trachea at the end of the procedure?
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
C.3. What technique could you use if one-lung ventilation was indicated?
C.6. What are the indications for one-lung ventilation (OLV), and how can it be accomplished? What complications can be associated with OLV?
C.7. What are the contraindications to the use of double-lumen endotracheal tubes (DLTs)?
C.8. Would you use a right- or left-sided DLT?
C.9. How do you know that the tube is in the correct position?
See Double-lumen endotracheal tube (DLT)
DN
Dobutamine
C.10. How would you diagnose right-sided heart failure and pulmonary hypertension? How would you treat it?
E.6. What are the significant implications of the denervated heart?
Donation after cardiac death (DCD)
A.1. What are the potential graft options for liver transplantation?
A.11. What is donation after cardiac death (DCD)?
Donation after circulatory death (DCD)
Donor heart
Donor kidney
A.10. How are kidneys allocated to recipients on the waiting list in the United States?
A.12. What is a living donor transplant program?
Donor nephrectomy
Do-not-resuscitate (DNR) order
Dopamine
in neuroleptic malignant syndrome
secretion of
synthesis and breakdown of
Dopaminergic agonists
Doppler echocardiography
A.6. What are the basic principles of echocardiography? What are M-mode, B-mode, and Doppler color modalities? How are pressure gradients measured by echocardiography? How do TTE and transesophageal echocardiography (TEE) differ?
B.3. What are the chest radiographic findings in cardiac tamponade?
C.I-9. Discuss the principles and clinical applications of intraoperative two-dimensional transesophageal echocardiography (TEE).
Doppler ultrasound
microvascular, in cerebral aneurysm
precordial, in craniotomy
transcranial, in carotid artery procedures
Dorsal root ganglion stimulation
for cancer pain
for complex regional pain syndrome
for low back pain
for low back pain - B.4. What are some of other approaches in minimally invasive interventions?
Double burst stimulation (DBS)
Double-lumen endotracheal tube (DLT)
contraindications to
extubation
in lung resection - C.8. Would you use a right- or left-sided DLT?
in lung transplantation
insertion and positioning of
in trauma surgery
right- vs. left-sided - C.8. Would you use a right- or left-sided DLT?
Doxazosin, for pheochromocytoma
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