This week's cases will be things seen in pre-operative clinic.
A healthy 55 year old gentleman is scheduled for a laparoscopic cholecystectomy for symptomatic cholelithiasis. He has not seen a doctor in ages but is "otherwise healthy." He has never had surgery before. He takes five herbal medications for "general wellness." He has no allergies. He smokes marijuana daily, but does no other alcohol or drugs. His vital signs are all within normal limits. His Mallampati score is II, he has good neck range of motion, and his heart and lungs are normal on exam. Because of his age, a screening EKG is obtained and shown above. The EKG computer says "abnormal EKG."
Challenge: Do you do the case or cancel it for further workup?
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