Duchenne's Muscular Dystrophy - Final Exam Viva

ABCs of Anaesthesia

Thanks Dr Ralph for a great exam performance!
For the FULL video check out https://anaesthesia.thinkific.com/courses/FinalExam
The Stem
13yo male presents to emergency department in a small rural hospital (2 theatres, 1 ward, no HDU/ICU) with right iliac fossa abdominal pain.
Past history
Duchenne’s muscular dystrophy
Wheelchair bound
Severe scoliosis
50kg recent weight
Vitals
HR 110 SR
BP 100/70
Sats 95% or 2L NP oxygen
Resp rate 40
Temp 37.4
Bloods
FBE 120
WCC 13 x 109/L
Plt 400 x 109/L
The surgeon is concerned about a ruptured appendix and would like to urgently go to theatre for a laparoscopic appendicectomy.
His father is very concerned about the anaesthetic.
What is Duchenne’s muscular Dystrophy and what are the concerning aspects of this disease for the anaesthetic?
---------
Find us at
Instagram: https://www.instagram.com/abcsofanaesthesia/
Twitter: https://twitter.com/abcsofa
Website: http://www.anaesthesiacollective.com
Podcast: ABCs of Anaesthesia
Primary Exam Podcast: Anaesthesia Coffee Break
Facebook Page: https://www.facebook.com/ABCsofAnaesthesia
Facebook Private Group: https://www.facebook.com/groups/2082807131964430
---------
Check out all of our online courses and zoom teaching sessions here!
https://anaesthesia.thinkific.com/collections
https://www.anaesthesiacollective.com/courses/
---------
#Anesthesiology #Anesthesia #Anaesthetics #Anaesthetists #Residency #MedicalSchool #FOAMed #Nurse #Medical #Meded
---------
Please support me at my patreon
https://www.patreon.com/ABCsofA
---------
Any questions please email [e-mail]
---------
Disclaimer:
The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
The information presented here does not represent the views of any hospital or ANZCA.
These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.
This disclaimer was created based on a Contractology template available at http://www.contractology.com.