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Old 03-25-2012
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Blood The highest risk of blood loss during surgery

A 60 year old patient will be hospitalized next week to undergo a colon resection. He comes to your office for a pre-operative examination and asks you about blood loss during surgery. The highest risk of blood loss during surgery correlates with:

A) The patients age
B) The stage of the tumor
C) The length of the operation
D) The presence of malignancy
E) Previous radiation
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Old 03-25-2012
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complietely guessing, based on own experience:

B) cuz you might need to resect some extra tissue
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Old 03-25-2012
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My ans is
A) The patients age

I Guess Risk factors for intra- and post op complications of colorectal surgery are Age > male gender > malnutrition > Surgeon's experience and ASA class greater than III. This was a sequence given me by my GI sergery clerkship supervisor (Prof Arthur Essomba). I'm not sure whether it applies to bleeding but it's a reasonable guess i'm making.

Please, Correct me if im wrong Hope2Pass!!
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Old 03-25-2012
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Length of operation is my guess
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B -- stage of tumor?? More invasive tumor... More difficult surgery... More blood loss...
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Old 03-26-2012
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Length of operation
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Old 03-26-2012
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i think it's C _ length of operation
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Old 03-26-2012
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A) The patients age = don't know about this one
B) The stage of the tumor = isn't having a cancer lead to hypercoagulability???
C) The length of the operation = you do not loos that much blood. also, I think if CA is really advanced... it wont be operable. :
D) The presence of malignancy = same as B
E) Previous radiation = the only thing that makes me think bad platelets and thus more bleeding.
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Length of operation and blood loss are usually 2 separate characteristics in the Op Note.
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The correct answer is C. The length of the operation.
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Quote:
Originally Posted by Hope2Pass View Post
The correct answer is C. The length of the operation.
Yes
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