3 Scenarios contain the text: 'post-op' |
| Title | Description |
|---|---|
| Postoperative complications | A 75 year old Chinese woman had an anterior resection (large bowel operation) 4 days ago. She develops fever, abdominal pain and has not opened her bowels since surgery. She has an intravenous cannula in her forearm and one in her foot. She also has an indwelling urinary catheter. Her heart rate is 130 beats per minute, her blood pressure has fallen to 90/50 mmHg, and her temperature is 38.3°C. She is breathing rapidly. You are the on call junior doctor and are asked to review her. D/O: General Surgery (•••), Infectious Diseases (•••), Anaesthesiology (••), Cardiovascular System (••), Digestive System (••), Urology (••), Ethics (•) PTT: General duties, Homeostasis |
| Preoperative assessment and management | A 74 year old NZ European woman with diabetes is admitted for removal of a bowel tumour, and will require a general anaesthetic. You are on your anaesthetic attachment and are shadowing the anaesthetic registrar. You both go to see the patient preoperatively to assess her fitness for surgery and plan the anaesthesia. D/O: Anaesthesiology (•••), Cardiovascular System (••), Endocrinology (••), Respiratory System (••) PTT: Homeostasis |
| Knee pain | A 70 year old Māori woman with a 1 year history of worsening knee pain underwent a left total knee joint replacement 6 weeks ago. She is a local kaumātua, helping to run a training programme for Māori youth, and usually plays bowls twice a week. She now presents with 5 days of increasing pain and swelling in this knee. She had a rigor and when she measured her temperature last night it was 38.8°C. Her left knee is markedly swollen, hot to touch and she cannot walk because of the pain. D/O: Infectious Diseases (•••), Musculoskeletal System (•••), Orthopaedics (•••), Rheumatology (•) PTT: Musculoskeletal |
| Title | Description |
