Don't Forget To Ask/Do This!

Question 1

Patient >50yo with perforated appendicitis

Answer 1

Get a colonoscopy prior to interval appendectomy

Question 2

Infected mesh (2)

Answer 2

What kind? (PTFE has to all come out, may be able to leave Prolene.)
How long has it been in? (<2wk, go in immediately, >3wk, temporize unless patient unstable.)

Question 3

Patient with colonic diverticulitis initially managed non-operatively

Answer 3

Get a colonoscopy prior to colectomy

Question 4

Female patient between 12 and 55.

Answer 4

Is she pregnant?

Question 5

Patient over 50 with perforated appendicitis treated non-op.

Answer 5

Get a colonoscopy before interval appy

Question 6

Patient who needs a CT

Answer 6

Get a creatinine

Question 7

Patient with rectal cancer on DRE

Answer 7

Get a complete colonoscopy, synchronous adenomas up to 30% and cancers 3%.

Question 8

Laparoscopy or laparotomy for malignancy.

Answer 8

Full abdominal exploration for metastatic disease.

Question 9

Recurrence/spread of malignancy pre-operatively/after neoadjuvant therapy

Answer 9

Restage

Question 10

Any chance of doing splenectomy (distal panc, L adrenal cancer, large splenic flexure tumor…)

Answer 10

Give preop vaccines.

H flu
S pneumo
Meningitis