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Question

A 56-year-old female has been diagnosed with gallstones and is undergoing a preanaesthesia checkup. She has been a diabetic since last 15 years, but sugar levels are within the limits. Which category of physical status does she fit into?

The correct answer is
ASA 2

ASA Physical Status Classification Explained

The American Society of Anesthesiologists (ASA) physical status classification system grades a patient's physiological health status before anaesthesia. The categories relevant to this case are:

  • ASA 1: Normal healthy patient.
  • ASA 2: Patient with mild systemic disease.
  • ASA 3: Patient with severe systemic disease.

Patient Assessment for ASA Status

The patient is a 56-year-old female presenting for a preanaesthesia checkup due to gallstones. Key factors considered are:

  • Systemic Disease: She has a 15-year history of diabetes mellitus.
  • Severity: The diabetes is described as having sugar levels "within the limits," indicating it is well-controlled.

Determining the ASA Category

Based on the ASA guidelines:

  • A controlled, long-standing condition like diabetes with normal sugar levels constitutes mild systemic disease.
  • This fits the definition of ASA 2.

Therefore, the patient fits into the ASA 2 category.

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Important Questions from Anaesthesia & Pain Management

  1. Rapid Sequence Induction is indicated in:
  2. Preoperative Samsoon and Young modified, Mallampati test is used for assessing:
  3. Which one of the following is a Nephrotoxic anaesthetic agent?
  4. Which one of the following is a Nephrotoxic anaesthetic agent?
  5. Contraindications to epidural analgesia include the following except
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