11 results
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
- Differential Diagnosis ... Constant Pain (Ischemia ... Infective Endocarditis ... #Differential #Diagnosis ... #Orthopedics #Causes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... consultation with cardiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... leads) RV Ischemia ... #Embolism #AcutePE ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
/ischemic insult ... Diagnosis? ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... cause injury by ... /ischemic insult ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Acute and Critical Limb Ischemia
Critical Limb Ischemia (CLI):
 • Severe form of PAD that includes limb
11% of all PAD cases ... peripheral artery or bypass ... broadly divided into embolism ... coldness of LE, & paresthesia ... #diagnosis #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... • Pulmonary embolism ... #cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... o Cardiac ischaemia ... Intraoperative #Checklist #Diagnosis ... Management #Workup #anesthesia
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... Obtain EKG if: ... VITAMINS/supplements ... stratification #diagnosis