Surgery

Question 1

When should you stop ASA for surgery? When can you resume?

Answer 1

stop 7 days prior, resume 24hrs after

Question 2

When should you stop Warfarin for surgery? When can you resume?

Answer 2

stopped 4-5 days prior, bridged with heparin or LMWH untill surgery if needed, resumed 24hrs after?

Question 3

When should you stop Heparin for surgery? When can you resume?

Answer 3

stopped 5 hrs before, resumed once hemostasis is obtained

Question 4

When should you stop LMWH for surgery? When can you resume?

Answer 4

stopped 12-24 hrs before, resumed once hemostasis is obtained

Question 5

When should you stop Clopidogrel for surgery?

Answer 5

stopped 7-10 days prior

Question 6

When should you stop NSAIDs for surgery?

Answer 6

Stopped 3 days prior

Question 7

Stress dose of steroids for those with adrenal insufficiency?

Answer 7

Hydrocortisone 100mg q8hr x 2-3 days

Question 8

When can you remove sutures from the face?

Answer 8

3-5 days

Question 9

When can you remove sutures from the scalp?

Answer 9

5-7 days

Question 10

When can you remove sutures from the trunk/arms/hand?

Answer 10

7-10 days

Question 11

When can you remove sutures from the leg/foot?

Answer 11

10-14 days

Question 12

Appendicitis can present in pregnancy as —– tenderness due to gravid uterus.

Answer 12

RUQ

Question 13

Charcot Triad for acute cholecystitis

Answer 13

FEE: Fever, Epigastric + RUQ pain, Emesis/nausea

Question 14

Who should you refer for bariatric surgery?

Answer 14

BMI >40 or BMI >35 w/1+ obesity related condition(T2DM, HTN, Sleep apnea, NASH, OA, HLD, GI disorders, Heart disease)