Rejected at 8:24 p.m. Oct, 31, 2023 ] by dollajas
Author: Hartroc
Related Note: 1510875203694
Rationale for change

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Rejection reason

comments. resolved manually.

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- Patients with conditions requiring emergency surgery (life / limb threatened < 6 hr) should proceed to surgery without further testing; potential benefit of immediate operative intervention outweighs the risk of delay for cardiac evaluation

- Goldman Index was an older perioperative cardiac risk calculator that is no longer used

Revised cardiac risk index (RCRI):
  • Procedure-related risk factor: suprainguinal vascular, intra-abdominal, or intrathoracic surgery
  • Patient-related risk factors:
    • Congestive heart failure
    • History of stroke or TIA
    • Creatinine > 2.0 mg/dL
    • Ischemic heart disease
    • Insulin-dependent diabetes mellitus
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy 2
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Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
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OME

Additional Resources
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!AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::1-OME::1 #AK_Step2_v12::!Shelf::Surgery::no_dupes::only_step2 #AK_Step2_v12::#UWorld::107131 #AK_Step3_v12::#UWorld::12808 #AK_Step2_v12::!Shelf::FM::no_dupes::only_step2 #AK_Step2_v12::#B&B::16_Surgery_&_Anesthesia::01_Surgery::01_Pre-Operative_Evaluation #AK_Step2_v12::Original_decks::Dorian::fam::ome::surg::preop_eval #AK_Step2_v12::#Resources_by_rotation::FM::ome::surg::preop_eval #AK_Step2_v12::#Resources_by_rotation::Surgery::emma #PANCE::EOR::Surgery #AK_Step2_v12::!Shelf::Surgery::no_dupes #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#OME::06_Surgery::01_General::01_Preoperative_Evaluation #AK_Step2_v12::#UWorld::107695 AnkiHub_ImageReady::Text #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::1surgery #AK_Step2_v12::Original_decks::Dorian::surg::ome::gensurg::preop_eval #AK_Step2_v12::!Shelf::FM::no_dupes #AK_Step2_v12::#OME::Clinical::06_Surgery::01_General::01_Preoperative_Evaluation AnkiHub_ImageReady::Extra #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::gensurg::preop_eval #AK_Step3_v12::#UWorld::5285 #AK_Step2_v12::#SketchySurgery::01_Preoperative_&_Postoperative_Surgical_Considerations::01_Preoperative::01_Cardiac_Risk_Assessment_and_Perioperative_Management !AK_UpdateTags::^temporary::ImageFix::14::done #AK_Step2_v12::#UWorld::107129 #AK_Step2_v12::#Subjects::Surgery_&_EM::01_Pre-Op::Cardiac_Risk