Perioperative assessment ensures an early diagnosis of the patients medical condition overall health medical co morbidities and the assessment of the risk factors associated with the proposed procedures perioperative assessment allows for proper postoperative management of complications and of the management of drugs such as disease modifying anti rheumatic drugs dmard and anti . Perioperative management of patients with rheumatic disease fills a conspicuous gap in the literature and aims at providing a paved path for rheumatologists who infrequently manage surgical problems and medical consultants who only seldom encounter patients with rheumatic diseases to tread as they care for patients in the perioperative period the book addresses discrete management issues . The article identifies the components of perioperative medical evaluation discusses perioperative management of co morbidities and the management of specific clinical problems related to rheumatoid arthritis ra ie cervical spine disease pulmonary disease systemic lupus erythematosus sle the management of dmards like methotrexate mtx and biologic therapies vte prophylaxis . Obviously for any rheumatic disease patients among hiv positive patients perioperative management should include hands on pharmacy support patient may be unaware of pregnancy patients . Perioperative assessment allows for proper postoperative management of complications and of the management of drugs such as disease modifying anti rheumatic drugs dmard and anti platelets and corticosteroids the assessment also supports follow up plans and patient education perioperative assessment enables the discussion of the proposed treatment plans and the factors associated with
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