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anesthesia anesthesiology cardiology checklist differential ecg electrocardiogram intraoperative stemi cardiac causes clinical ctchest equivalents ischemia lung pulmonary abscess anaphylaxis calculi
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... Normalization Spodick's sign ... #Pericarditis #EKG ... #cardiology #diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... Discontinue source of air ... attempt to aspirate air ... #Management #Workup
Pertinent Chest x-ray Findings in the Trauma Patient and Implications Respiratory distress without x-ray findings - Central
pneumothorax or air ... chest (loculated air ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology
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 ... electrocardiogram #cardiology
Septic emboli Septic emboli usually present as multiple ill-defined nodules. In about 50% cavitation is seen. CT demonstrates more
can suggest the diagnosis ... abutting the pleura, air-bronchograms ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
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 #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #cardiology #ecg
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 ... Plan definitive management ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
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