medportal CDB | Taxonomy | MeSH / Postoperative Complications [C23.550.767]

Taxonomies

MeSH

Postoperative Complications [C23.550.767]

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Child Tags

Malignant Hyperthermia [C23.550.767.600]

Pain, Postoperative [C23.550.767.700]

Surgical Wound Dehiscence [C23.550.767.887]

Postoperative Hemorrhage [C23.550.767.850]

Activities

Pre and Post operative care
Large Group Session

Clerkship / Surgery Rotation

Fever in Postoperative Patient
Clinical Exposure

Clerkship / Surgery Rotation

Shortness of breath/chest pain in postoperative patient
Clinical Exposure

Clerkship / Surgery Rotation

Dyspnea/chest pain in postoperative patient
Essential Clinical Experience

Surgery Rotation

Fever in postoperative patient
Essential Clinical Experience

Surgery Rotation

Assessments

Primary Presentations (Surgery Clerkship)
Clerkship Structured Oral Examination

Clerkship / Surgery Rotation

Objectives

Explain the presentation and management of malignant hyperthermia as an example of the hypermetabolic state
Clerkship Objectives

Clerkship / Anesthesia Rotation

Dyspnea/chest pain in postoperative patient
Essential Clinical Experience

Clerkship / Surgery Rotation

Fever in postoperative patient
Essential Clinical Experience

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Within 24 hours: response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia); catheter related complications (IV-phlebitis, Foley-UTI). After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, parotitis); noninfectious (deep vein thrombosis).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the following wound complications in terms of predisposing risk factors (patient condition, type of operation, technique), as well as their recognition, treatment, and prevention: hematoma and seroma; wound infection; dehiscence; incisional hernia.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the various causes of respiratory distress and respiratory insufficiency that may occur in the postoperative patient. For each complication, describe the etiology, clinical presentation, management, and methods of prevention: atelectasis; pneumonia; aspiration; pulmonary edema; pulmonary embolism (including deep venous thrombosis); fat embolism.
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the diagnostic work-up and treatment of oliguria in the postoperative period. Include pre-renal, renal, and post-renal causes (including urinary retention).
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss the possible causes of hypotension which may occur in the postoperative period. For each etiology describe its pathophysiology and treatment: hypovolemia; sepsis; cardiogenic shock - including postoperative myocardial infarction; fluid overload; arrhythmias; pericardial tamponade; medication effects
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the management of postoperative chest pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe factors which can lead to abnormal bleeding postoperatively, and discuss its prevention and management: Surgical site - inherited and acquired factor deficiencies; DIC; transfusion reactions; operative technique; gastroduodenal (i.e. stress ulcerations)
Clerkship Objectives

Clerkship / Surgery Rotation

Discuss disorders of alimentary tract function following laparotomy which may produce nausea, vomiting, and/or abdominal distension: paralytic ileus; acute gastric dilatation; intestinal obstruction; fecal impaction
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the factors which can give rise to alterations in cognitive function postoperatively, as well as their evaluation and treatment. Alterations in cognitive function: hypoxia; metabolic; alcohol withdrawal; hyponatremia
Clerkship Objectives

Clerkship / Surgery Rotation

Tag Info

Taxonomy

Tag Parent

Pathologic Processes [C23.550]

Use Count

19

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