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diagnosis differential management anesthesia checklist intraoperative workup neurology lower bilateral block bradycardia cardiology central comatose common dermatology dermatomes distribution edema
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Bone/Joint Causes ... stenosis/nerve compression ... cyanosis - Cool extremity ... diagnosis #lower #extremity ... #msk #physicalexam
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Lower Extremity ... and bilateral leg ... Commonly caused ... sensory #motor #leg ... #physicalexam
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema Edema occurs when any of the following
Framework for Lower Extremity ... Note: • Left leg ... after the right leg ... is due to the compression ... #PhysicalExam #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
100% oxygen AND check ... ❷ Airway • Check ... • Check airway ... (eg steroid dependency ... #Differential #Anesthesiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Guidelines for crises ... #Bradycardia #Anesthesiology
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Guidelines for Crises ... • Elevate the legs ... relieve aorto-caval compression ... Consider other causes ... Neuraxial #Block #Anesthesiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Check serial lactates ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
) without cord compression ... flexors of the legs ... Predictive of MS) • Check ... • Infectious causes ... • Brain MRI: Check
Common Dermatological Conditions - Distribution and Morphology • Acne vulgaris - Face, upper back, chest -
Blush area of cheeks ... Ankles, lower legs ... Melasma - Forehead, cheeks ... honey-colored crusts ... extremities, especially legs
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
responses • Check ... wrists clenched; legs ... wrists clenched; legs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
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