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diagnosis management clinical differential anesthesia checklist intraoperative neurology video workup msk orthopedics sports test elys extremity femoris pulmonary rectus accessories
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Bone/Joint Causes ... Hematoma Venous Causes ... stenosis/nerve compression ... Herpes zoster - HIV ... extremity #msk #physicalexam
Dropped Foot Gait - Paralysis of Dorsal Flexion of the Foot. When trying to walk the tip
peroneal nerve, which causes ... flaccidity of the leg ... by raising the leg ... the thigh on the hip ... Gait #Neurology #PhysicalExam
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 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
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and bilateral leg ... Commonly caused ... fracture or prolonged compression ... sensory #motor #leg ... #physicalexam
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... pericardiocentesis kit (eg ... • Identify tip ... immediately to left of tip ... Cardiac #Tamponade #Anesthesiology
Ventilator Troubleshooting Summary High PIP, nl Pplat: - DDx: Tubing problem, Bronchospasm, Secretions - Next Steps: Check
Troubleshooting Summary High PIP ... - Next Steps: Check ... , Suction High PIP ... BS, CXR, Bowel reg ... Treat underlying cause
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
flexors of the legs ... Predictive of MS) • Check ... • Brain MRI: Check ... simplex virus, HIV ... , Hep A/B/CMV, TB
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