23 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... Syncope #diagnosis #workup ... Effectiveness #table #comparison
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
change in P wave contour ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
EKG: afib, twi I ... Resolution: CT surgery ... Labeled Schematic
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
• Provoked (e.g ... . surgery, trauma ... - No other workup ... Hypercoagulable #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Stabilize and Survey ... 4) Workup 5) ... Cardiac surgery? ... criticalcare #treatment #workup
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
change in P wave contour ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... rapidly complete the surgery ... Diagnosis #Management #Workup
Types of Urinary Diversion Procedures
Ileal Conduit:
 • Technically simpler, fewer complications, and well understood. No bladder
E.g.: Indiana Pouch ... Technically difficult surgery ... Technically difficult surgery ... Procedures #Types #Comparison
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... consult vascular surgeon ... N2O • Tell surgeon ... Diagnosis #Management #Workup
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
Previous abdominal surgery ... can be offered (e.g ... #Hemodialysis #comparison