11 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... opiates • Control heart ... #diagnosis #management
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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Before antireflux surgery ... exclude motility disorders ... - Antireflux surgery ... Disease #diagnosis #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... a gas exchange disorder ... appear in left heart ... ) on room air Treatment ... #treatment #hepatology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... • Classic triad ... leukocytosis, psychiatric disorders ... of anesthesia, surgery ... and then surgery
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Diagnosis and Management ... positive in 2/3 of pts ... limb or joint disorders ... Person Syndrome Treatment ... #treatment #neurology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... - Structural heart ... upper abdominal/thoracic ... CARP, DECREASE V trials ... medical and surgical management
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 ... help AND check arterial ... Checklist #Diagnosis #Management
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 ... Diagnosis #Workup #Management