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cardiology anesthesiology checklist ecg electrocardiogram workup cardiac causes equivalents intraoperative alarms aortic calculi calculus catheterization complications dissection elevation embolism embolus
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... plasmaphoresis Box D: AIR ... Discontinue source of air ... attempt to aspirate air
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... lat decubitus - air ... Differential Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Checklist #Diagnosis ... #Management #Workup
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #diagnosis #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... indicated, start CPR ... examination and vital signs ... Anesthesiology #Anesthesia ... #Management #Workup
Ventilator Alarms Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety - Reassess
balloon, & add air ... bronchodilators/order CXR ... balloon, & add air ... MechanicalVentilation #Nursing #Differential ... #Diagnosis #Management
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high ... Pulse deficit/differential ... BP • New AR ... Aortic #Dissection #diagnosis ... #management #vascular
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... is desirable, e.g ... with surgical access ... stones #calculus #Radiology ... #Diagnosis
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