Behind The Knife: The Surgery Podcast

Behind the Knife ABSITE 2026 - Quick Hits 2

Jan 21, 2026
Nina Clark, a surgical education fellow specializing in hematology, and Dan Sheese, who focuses on gastrointestinal and colorectal surgery, dive into critical topics for ABSITE review. They explore hypercoagulable disorders, including treatment for HIT, and discuss DVT prophylaxis. Dan elaborates on the intricacies of Meckel's Diverticulum and colorectal cancer screening guidelines. Together, they share clinical pearls, mnemonics, and key interventions to help aspiring surgeons excel in their exam prep.
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ADVICE

Recognize And Treat HIT Promptly

  • If you suspect HIT, stop all heparin products immediately and start an alternative anticoagulant like fondaparinux or bivalirudin.
  • Use the 4 T's (thrombocytopenia, timing, thrombosis, other causes) to recognize HIT early.
INSIGHT

SCDs Do More Than Move Blood

  • Sequential compression devices reduce DVT mainly by decreasing venous stasis.
  • They also increase AD3, tPA, and fibrinolysis, adding a biochemical benefit.
ADVICE

Duration For Provoked DVT

  • Treat provoked DVT with anticoagulation for about three months.
  • This is the typical clinical and ABSITE context for DVT management.
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