15 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Workup Algorithm ... History and ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... , and extremity ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... r/o hemorrhage and ... Cardioembolic: • ECG ... +/- TEE (high Afib ... #diagnosis #checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
12-lead ECG machine ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
positioning (e.g ... consider: o Cardiac ... Endocrine cause (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... then cardiac arrest ... patient’s left hand ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup