Long-standing Type 2 Diabetes in Surgery — 65yo Man | General Surgery | SMLE Q#935
SMLE Question #935
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 65-year-old man with long-standing type 2 diabetes mellitus and hypertension is admitted for elective ventral hernia repair. On examination, he has bilateral basal lung crackles and pitting edema of both lower limbs. He is comfortable at rest but develops mild dyspnea after walking 20–30 meters. He has no abdominal pain, vomiting, or features of bowel obstruction. What is the most appropriate next step in management?
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