11 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Connective tissue disorder ... • Cardiac surgery ... catheterization • Thoracic ... opiates • Control heart
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... , PT. aPTT • Serial ... troponin; HEART ... score for PE • CTA
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 ... Management #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. ... #Management #treatment
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
aortic dissection ... allowed the CV surgeon ... the confirmatory CTA ... and standard treatment ... aortic dissection
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 ... CARP, DECREASE V trials
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
other neurological disorders ... positive in 2/3 of pts ... antibody that works ... limb or joint disorders ... Person Syndrome 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 ... help AND check arterial ... Diagnosis #Management #Workup
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 ... management and then surgery
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