Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2024 - Quick Hits 2
Jan 12, 2024
Join surgical education fellows Nina Clark and Dan Sheese as they delve into high-yield surgical topics for ABSITE preparation. Nina discusses Factor V Leiden and the management of heparin-induced thrombocytopenia. She also explores DVT prevention strategies and vaccination protocols post-splenectomy. Meanwhile, Dan reviews nutrient absorption in the small intestine and the intricacies of Meckel's diverticulum. He shines a light on carcinoid tumors and reveals the critical aspects of colorectal cancer screening, ensuring trainees are well-equipped for success!
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Factor V Leiden Dominance
- Factor V Leiden is the most common congenital hypercoagulable disorder and causes resistance to activated protein C.
- Recognize this as a frequent testable cause of thrombophilia in surgical patients.
Manage Suspected HIT Immediately
- If you suspect HIT, stop all heparin products immediately and start an alternative anticoagulant like fondaparinux or bivalirudin.
- Use the four T's (thrombocytopenia, timing, thrombosis, other causes) to assess pretest probability.
Three-Month DVT Rule
- Treat provoked DVT with anticoagulation for about three months in most cases.
- Apply this as the standard duration for common clinical and ABSITE scenarios.