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cardiology management anesthesiology criticalcare endocarditis workup bradyarrhythmia bradycardia crisis cva delirium electrocardiogram evaluation hypertension hypotension hypotensive infectiousdiseases ischemic micu myastheniagravis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Initial checklist ... - Verify BP (e.g ... - Check other vital ... — 0.1 - 3 mcg/kg ... #Checklist
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis ... #checklist #neurology
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Anesthesiology - Differential ... Diagnosis and Management ... Initial checklist ... - Verify BP (e.g ... - Check other vital
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... oral secretions (e.g ... MyastheniaGravis #Checklist
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... involves aortic and mitral ... ↑ ESR, CRP • EKG ... -mm left sided vegetations ... #Endocarditis #Differential
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