23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... over 2 h (>65 kg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... #diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... seen in 34% of cases ... #Embolism #ECG ... #clinical #cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
o Circulatory embolus ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... tube ❹ Rapid diagnosis ... • Diagnostic ... Intraoperative #Checklist ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup