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A 26-year-old patient with stage 4B Hodgkin’s disease (spread to lymph nodes and other organs) requires an open splenectomy. a) List the specific factors that are of importance when planning your anaesthetic management. (10 marks) b) Outline the options for providing postoperative analgesia for this patient and give a possible disadvantage of each. (6 marks) c) Which vaccinations should this patient receive and what is the optimal timing of these? (4 marks) A 35-year-old woman presents for splenectomy for idiopathic/immune thrombocytopenic purpura, which is not controlled with medical management. a) Which vaccinations should this patient receive (3 marks) and when should they be given? (2 marks) b) List three immunological functions of the spleen in the adult. (3 marks) c) What are the preoperative considerations related to this patient’s condition? (8 marks) d) Describe the rationale for (1 mark) and principles of (3 marks) conservative management for traumatic splenic rupture. Special thanks to https://ketaminenightmares.com by Stuart / @ketaminenightmares403 Disclaimer: No copyright infringement intended, all data belongs to its rightful owners. For educational purposes only Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for "fair use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use. Join this channel to get access to perks: / @foreverlearninganaes