Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Internal Medicine


Answer 2
  1. None of the above. The indiscriminate use of preoperative laboratory and ancillary testing has been the subject of debate. However, in otherwise healthy patients awaiting elective, uncomplicated procedures, routine use of a battery of blood tests and chest radiography in the absence of a clear indication rarely affects outcome or perioperative management.3 With regard to preoperative echocardiography, the indications are the same as in the nonoperative period and would not be useful in the absence of signs or symptoms of cardiac disease. Test of hemostasis only are indicated if there is a personal or family history of perioperative or spontaneous bleeding.3 <

    REFERENCE
    3.
     Smetana GW, Macpherson DS. The case against routine preoperative laboratory testing. Med Clin North Am 2003; 87:7–40.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj