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management anesthesia anesthesiology workup cardiology differential cardiac ekg electrocardiogram ischemia stemi acute anaphylaxis causes central chagas complexes crisis criticalcare disease
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... proximal LAD or high ... unless LBBB/LVH/high ... #EKG #diagnosis
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... Alternatively, high ... Pericarditis #Cardiology #Diagnosis ... #Signs #Symptoms
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... is conscious, symptoms ... Have a high index ... #Checklist #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... Bundle Branch Block ... (Eiffel Tower sign ... • Short QT, high
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... Block - Guidelines ... that may mimic signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... WBC >100k, + lab signs ... Spontaneous if high ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... or TSH level if symptoms ... Pyridostigmine - New diagnosis ... unless extremely high ... monitoring (vital signs
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Excessive insulation, high ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Bundle branch block ... Digoxin toxicity Symptoms ... percent PVCs/day • High ... Differential Diagnosis ... more intensive treatment
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