Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2025 - Quick Hits 2
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Jan 17, 2025 In this discussion, Nina Clark, a surgical education fellow specializing in hematology and vascular topics, and Dan Sheese, focusing on small intestine and colorectal areas, dive deep into essential ABSITE knowledge. Nina breaks down complex concepts like congenital hypercoagulability and HIT management, while Dan highlights nutrient absorption in the small bowel and key colorectal cancer screening guidelines. They cover critical examination topics, including carotid stenosis interventions and the rules of Meckel's diverticulum, making this a high-yield learning session for aspiring surgeons.
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Factor V Leiden Is Common
- Factor V Leiden is the most common congenital hypercoagulable disorder and causes resistance to activated protein C.
- Recognize it as a common cause of inherited thrombophilia in surgical patients.
Manage Suspected Heparin‑Induced Thrombocytopenia
- 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 assess pretest probability.
How SCDs Reduce DVT
- Sequential compression devices reduce DVT primarily by decreasing venous stasis and secondarily by increasing antithrombin III, tPA, and fibrinolysis.
- They offer both mechanical and biochemical benefits for thromboprophylaxis.
