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diagnosis dissection anesthesia anesthesiology checklist intraoperative vascular airway aorta cell cyanosis differential evaluation hematology hypoxia increased neurology oncology perioperative person
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... deficit • Shock Treatment ... opiates • Control heart
Aortic Dissection - Diagnosis and Management Summary • HPI: sudden onset, "tearing" chest pain, radiation to
Aortic Dissection ... sudden onset, "tearing ... connective tissue disorder ... FHx • Imaging: CTA ... #summary #treatment
Aortic Dissection - Diagnosis and Acute Management Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... intensity at onset, Tearing ... Diagnose with CTA ... Call CV Surgeon. ... #treatment #aorta
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... risk (>5%): - Aortic ... Severe Aortic stenosis ... upper abdominal/thoracic ... medical and surgical management
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... leukocytosis, psychiatric disorders ... of anesthesia, surgery ... and then surgery ... #treatment
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
• Consider surgery ... be replaced or its ... Circulation • Check heart ... Checklist #Diagnosis #Management ... #Workup
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Diagnosis and Management ... positive in 2/3 of pts ... antibody that works ... limb or joint disorders ... #treatment #neurology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
delivery • Pause surgery ... be replaced or its ... Circulation • Check heart ... oedema, congenital heart ... #Management #Workup
Relapsing Polychondritis What is it? Recurrent inflammation of the cartilage in the body (Autoimmune disorder) Who? • Most frequently: 40
body (Autoimmune disorder ... Large vessels (aorta ... arrhythmia • Heart ... affected tissue Treatment ... rheumatology #diagnosis #management
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
ribs, vertebrae (thoracic ... Biopsy: Solitary disorder ... Bone marrow Treatment ... local control • Surgery ... Oncology #Diagnosis #Workup
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