Snapshot A 40-year-old obese man presents to the emergency room with a large umbilical hernia and intermittent abdominal pain. He has a past medical history of untreated chronic hepatitis C and unstable angina. On physical exam, ascites is noted. The umbilical hernia is reducible. On laboratory evaluation, his bilirubin is 3.2 mg/dL, prothrombin time is 32 seconds, and INR is 2.2. The surgeon is reluctant to operate on this patient due to his elevated risk factors. Introduction The overall risk of surgery is low in healthy patients Screening is not indicated unless there is a clinical indication Baseline tests login to view 19 more bullets To identify comorbidities that may preclude surgery login to view 1 more bullet Cardiac Risk Assessment Indications login to view 9 more bullets Assessments login to view 4 more bullets Pulmonary Risk Assessment Indications login to view 6 more bullets Assessments login to view 4 more bullets Hepatic Risk Assessment Indications login to view 1 more bullet Assessment login to view 1 more bullet Renal Risk Assessment Indications login to view 6 more bullets Assessment login to view 2 more bullets Hemostasis Risk Assessment Indications login to view 2 more bullets Assessments login to view 3 more bullets