Table 1 Preoperative assessment for the bariatric surgery on admission
Case 1 | Case 2 | Case 3 | |
|---|---|---|---|
Past medical history | Hypertension, dyslipidemia, T2DM, obstructive sleep apnea, obesity, gout, Burkitt’s lymphoma, HIV, CKD stage 2, hydrocele repair, tonsillectomy | Obesity, T2DM, obstructive sleep apnea, depression, HIV, fatty liver disease, tonsillectomy | Obesity, T2DM, asthma, dyslipidemia, obstructive sleep apnea, urinary incontinence, peripheral neuropathy, knee osteoarthritis, depression, vitamin D deficiency. |
Drug history | Allergic to co-trimoxazole. Metformin 500 mg twice a day Losartan 100 mg once a day Allopurinol 200 mg once a day Atorvastatin 10 mg once a day Indapamide 1.5 mg once a day | No known drug allergy. Mirtazapine 30 mg once a day Metformin 500 mg once a day | No known drug allergy. Ranitidine 300 mg once a day Atorvastatin 10 mg once a day Metformin 1 g three times a day Dapagliflozin 10 mg once a day Exenatide 20 mcg once a day Detemir 70 units twice a day |
HIV medications | Atripla (efavirenz/emtricitabine/tenofovir) 1 tablet once a day | Atripla (efavirenz/emtricitabine/tenofovir) 1 tablet once a day | Truvada (emtricitabine/tenofovir) 245/200 mg once a day Darunavir 800 mg once a day Ritonavir 100 mg once a day |
Family history | Father – aortic aneurysm Mother – Alzheimer’s | Nil | Nil |
Social history | |||
Tobacco smoking | Nil | Occasional | Nil |
Alcohol | 40 units/month | Occasional | Nil |
Employment | Computer programmer | Unemployed | Unemployed |
Independence | Lives with family, independent of daily activities | Lives with friends, independent of daily activities | Lives with daughter, wheelchair bound most of the time |
Observations | HR – 70 | HR – 100 | HR – 83 |
RR – 16 | RR – 16 | RR – 18 | |
Sats – 99% | Sats – 95% | Sats – 95% | |
BP – 128/72 | BP – 136/90 | BP – 145/83 | |
T – 36.4 °C | T – 36.1 °C | T – 36.7 °C | |
Physical examinations | Mild right knee joint pain | Mild bilateral joint pain and low back pain. Fungal infection right axilla | Mild bilateral joint pain and low back pain. |
Neurology examinations | NAD | NAD | Numbness below the knee bilaterally. Urinary incontinence |