11 results
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 • PERC; Well ... score for PE • CTA
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 Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... intensity at onset, Tearing ... Diagnose with CTA ... Call CV Surgeon. ... Diagnosis #Management #treatment
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
invades mononuclear cells ... Infected cells - ... Encephalopathy Triad ... Treatment: • HAART ... treatment • Cognitive
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
be replaced or its ... Circulation • Check heart ... not resolving, call ... help AND check arterial ... Diagnosis #Management #Workup
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
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
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
abandon or finish surgery ... for MH treatment ... lungs: • Change breathing ... INVESTIGATIONS Arterial ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
delivery • Pause surgery ... be replaced or its ... not resolving call ... oedema, congenital heart ... #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
urine, sweat) - its ... e.g., uptake by cells ... regional ischemia, surgery ... before beginning treatment ... glycol - HIV/HAART