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Anesthesiology Oral Board Flash Cards
Considerations, History, Physical Exam, Lab Tests/Imaging, Consults, Conflict(s), Optimize/Goals, Options, Preop:, Room Setup (Special Drugs/Monitors), Induction, Maintenance, Emergence, Disposition/Pain, Clinical Pearl, References
Loss of normal heart rate variability with breathing suggests autonomic neuropathy (gastroparesis).
Metabolic disorder associated with microvascular (retinopathy, nephropathy) and macrovascular complications (cardio- and cerebrovascular)
DM1insulin deficiency (autoimmune)
DM2insulin resistance, altered insulin secretion
DM1risk of diabetes ketoacidosis (DKA) (dehydration, acidosis, vomiting, fatigue, confusion, unconsciousness)
DM2risk of hyperosmolar hyperglycemia syndrome
Metabolic syndromeDM2, obesity, dyslipidemia, hypertension, procoagulant state, obstructive sleep apnea (OSA)
Perioperative hyperglycemia associated with wound infection. DM may increase morbidity (MI, renal failure, stroke) in certain surgical populations (CABG)
Medications?insulin, sulfonylureas, biguanides, thiazolidinediones, DPP-4 inhibitors, incretin mimetics
Hypoglycemiaweakness, fatigue, confusion, seizures; sweating, tachycardia, hunger
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