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[disclaimer: third-year student here, sorry if I sound like a novice, I am]
We have a 21 yo guy on our surgery service who got an emergency small bowel resection for trauma 3 d ago. He has been hypertensive, tachycardic and nauseous ever since his operation, but non-febrile. His past medical history was zero except for appendectomy 2 m ago. We have been at a dead end until today, when he casually mentioned that he got the appendectomy because he had a carcinoid tumor. Now that we have this useful piece of information, his symptoms fit well with excess serotonin etc. and carcinoid syndrome.
How would you approach a patient like this for anesthesia, if we had to do anything else with him? Also, what about anti-emetics and pain meds post-op?
thanks
We have a 21 yo guy on our surgery service who got an emergency small bowel resection for trauma 3 d ago. He has been hypertensive, tachycardic and nauseous ever since his operation, but non-febrile. His past medical history was zero except for appendectomy 2 m ago. We have been at a dead end until today, when he casually mentioned that he got the appendectomy because he had a carcinoid tumor. Now that we have this useful piece of information, his symptoms fit well with excess serotonin etc. and carcinoid syndrome.
How would you approach a patient like this for anesthesia, if we had to do anything else with him? Also, what about anti-emetics and pain meds post-op?
thanks