Preop Eval vs PFT eval

Preop Eval organizes and presents much of the guidance that one needs in order to evaluate and prepare adult patients for non-cardiac surgery. It is based upon the guidelines on this topic from the American College of Cardiology, the European Society of Anaesthesiology, the American Society of Anesthesiologists, the Institute for Clinical Systems Improvement, the American College of Chest Physicians, and more (full references in the app). The app contains 1 algorithm and 3 resources: the cardiac evaluation algorithm, guidance on starting and stopping key medications in the perioperative period, guidance on timing of surgery after cardiac events, and guidance on preoperative testing. It also contains a review of preoperative evaluation mainly for students and residents. The app addresses such common questions as: - who needs bloodwork before surgery? - who needs an EKG or a CXR? - how do I handle patients on warfarin, clopidogrel, and DOAC's? - which patients need adjustment of perioperative insulin and diabetic meds, and how? - which active cardiac conditions preclude surgery? - how long after MI or stent should a patient wait before surgery? - are there adjustments to make on psych meds, rheumatologic meds, ACE's and ARB's? This app is written and intended for practicing physicians like internists, family physicians, and hospitalists; for resident physician trainees; and for medical students. In addition to being a reference, the algorithm is written to be a teaching tool by not just delivering an answer, but instead walking a physician through the evaluation process so that one learns that process along the way. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.

PFT eval walks a clinician through a quick simple stepwise approach to analyse Pulmonary Function Tests (PFT's) in order to arrive at ventilation and respiration disorders and diagnostic ideas about patients. It is based upon several evaluation protocols in the medical literature. This tool not only yields answers, but just as importantly teaches the stepwise thinking process to arrive at answers along the way. A clinician or learner will wind up with good information that assists patient care and should wind up a little smarter and more able to do it with less assistance the next time. It is a great support for those of us clinicians who use these tests only occasionally and don't have it memorized. The differential diagnoses are then offered for the various findings of obstructive patterns, restrictive patterns, airway obstruction reversibility, etc. The app addresses such common questions as: •What are the standard cutoffs for mild obstruction, severe restriction, etc.? •How do I assess the quality of the PFT efforts before drawing diagnostic conclusions from them? •What are common causes of acute and chronic restrictive lung disease? •When could one consider methacholine challenge testing? •What's the difference between intrinsic and extrinsic restrictive lung disease and what are typical differentials? This app is written and intended for practicing clinicians like internists, family physicians, and pediatricians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.