Acromegaly
Patient (condition)
 
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Anaesthetic complications of acromegaly. refl.in/90

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Jul 09, 2011
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Unregulated growth hormone production from pituitary, hypothalmic, or non-endocrine tumors. Focus on symptoms relating to local tumor effects, systemic tumor effects, and be aware of risk of difficult ventilation/intubation. Refl.in/d8

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Sep 28, 2011
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Evaluate for symptoms due to local effect of tumour including headaches and visual field defects.

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Sep 28, 2011
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Evaluate and document any existing peripheral nerve entrapment.

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Aug 14, 2011
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Evaluate for any altered airway anatomy. Patient is at increased risk of difficult intubation or ventilation. Features include macroglossia, sub-glottic and glottic stenosis, enlarged epiglottis, and generalised soft tissue changes. refl.in/90

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Oct 03, 2011
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Evaluate for signs of congestive cardiac failure. #ref

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Clarify hormone replacement therapy. Compression/damage to normal pituitary tissue can result in deficiencies in glucocorticoids, thyroid hormone, and sex steroids. These may need optimisation if patient is symptomatic.

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Consider awake fibreoptic intubation if signs of respiratory compromise (stridor, hoarse voice) at rest, or if patient is at risk of both difficult ventilation and intubation (symptoms/investigations suggesting of obstructive sleep apnoea)

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