Medical Student Education

MS2 Case Report

Medical Student:	Date:
Anesthesiology Resident/CRNA:	Anesthesiology Attending:

Case Posting
Procedure/Surgeon:
Position:
Duration:
Blood (amt set up):

Preoperative Assessment
Age:

History

Pos/Neg

Explain Positive

Medications
Hypertension:
Hearth Disease:
Diabetes Mellitus:
Kidney Disease:
Asthma:
Reflux:
Other:
Allergies:
Family History (Malig. H'therm):
Social (tob, EtOH, IVDA):

Exam
V/S:
Height:
Weight:
Airway Mouth Opening:
Uvula:
Teeth:
ROM Neck:
Heart:
Lungs:
Other (regional):

Labs
CBC:
ChemCS:
Coags:
EKG:
CXR:

Questions
1. Do you think this patient should have regional anesthesia or general anesthesia? Why?

2. List this patient's problems in order of importance to anesthesia and surgery. Why are they important?

3. List this patient's possible perioperative complications. How can you plan your anesthetic management to avoid these complications?