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diagnosis management anesthesia checklist differential intraoperative workup neurology extremity beauslines block bradycardia cardiology central clinical comatose common dermatology dermatomes distribution
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Bone/Joint Causes ... Hematoma Venous Causes ... Edema Arterial Causes ... stenosis/nerve compression ... extremity #msk #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
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
Transverse lines ... the nails can be caused ... paired white lines caused ... fade with digital compression ... Ridges #Clinical #PhysicalExam
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
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
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
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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