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workup anesthesia anesthesiology cardiology criticalcare intraoperative differential embolism endocarditis acutepe admissions admitting airway autopeep cardiomyopathy cva cyanosis ekg electrocardiogram embolus
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... ., A-Fib also a ... in relation to ECG ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... monitoring • TTE ... +/- TEE (high Afib ... stroke #workup #diagnosis ... #checklist #neurology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... desaturation, confusion ... Embolus #Embolism #VTE ... Intraoperative #Checklist ... #Diagnosis #Management
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
airway resistance (e.g ... airway resistance (e.g ... acute scenario (e.g ... AutoPEEP #PEEP #pulmonary ... #diagnosis #management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... /Vfib/Afib/WPW)
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... TTE: Helps to know ... esp in work-up/management ... will also get an EKG ... #diagnosis #workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... cardiomyopathy • Pulmonary ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... • <3mo since VTE ... medical and surgical management ... stratification #diagnosis
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