Thanks Dr Ralph for a great exam performance!
For the FULL video check out https://anaesthesia.thinkific.com/courses/FinalExam
The Stem
13yo male presents to emergency department in a small rural hospital (2 theatres, 1 ward, no HDU/ICU) with right iliac fossa abdominal pain.
Past history
Duchenne’s muscular dystrophy
Wheelchair bound
Severe scoliosis
50kg recent weight
Vitals
HR 110 SR
BP 100/70
Sats 95% or 2L NP oxygen
Resp rate 40
Temp 37.4
Bloods
FBE 120
WCC 13 x 109/L
Plt 400 x 109/L
The surgeon is concerned about a ruptured appendix and would like to urgently go to theatre for a laparoscopic appendicectomy.
His father is very concerned about the anaesthetic.
What is Duchenne’s muscular Dystrophy and what are the concerning aspects of this disease for the anaesthetic?
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