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Anaesthesia of myotonia congenita Becker
A patient comes for preoperative examination for planned arthroscopy to your consulting room. According to his personal history he suffers from myotonia congenita Becker and a hiatal hernia. What will be your next step?
We will proceed with usual preoperative examination.
We will consult the preoperative examination with a gastroenterologist.
Examination by a neurologist should be a part of the preoperative examination.
45
years
182
cm
87
kg
man
RR
15
/min
HR
71
/min
SpO2
96
%
BP
124/74 (91)
mmHg
EKG
rythm:
sinus
action:
regular
Examination
TT: 19 s
Glycaemia
Gly
4,2
mmol/L
Complete blood count
HGB
155
g/L
HTC
0,43
ERC
4,5
x10
12
/L
LEU
6,3
x10
9
/L
PLT
330
x10
9
/L
Coagulation
aPTT
27
s
PT
12,5
s
Biochemical analysis
Na
140
mmol/L
K
4,2
mmol/L
Cl
103
mmol/L
Mg
0,9
mmol/L
Ca
2,42
mmol/L
P
0,8
mmol/L
Glycaemia
Take a sample
Complete blood count
Take a sample
Coagulation
Take a sample
Biochemical analysis
Take a sample
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Respiratory rate
Heart rate
Saturation of peripheral oxygen
Non invasive blood presure
Electrocardiography
3,9–5,6
120-170
0.37-0.52
3.9-5.7
4-10
150-350
Activated partial thromboplastin time (35–45)
Prothrombine time (10–14)
132–142
3,8–5,4
97–108
0,7–0,9
2,25–2,75
0,65–1,6