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Final clinical long case 11

Created: 7/4/2004
 

Long case

A patient presents for a radical nephrectomy for malignancy.  He has a history of chronic obstructive pulmonary disease, ischaemic heart disease, a pacemaker and requires haemodialysis. 

Investigations
Full blood count, urea and electrolytes, chest X-ray, ECG, echocardiogram, pulmonary function tests

Questions

What is the transfer factor? (discussion re: the pulmonary function tests)
How would you assess this patient's volaemic status?
Would you consider an epidural? Discuss the pros vs cons
How would you optimise this patient preoperatively?


ArticleDate:20040407
SiteSection: Article
 
   
    
                                            
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