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management anesthesia anesthesiology workup cardiology differential cardiac electrocardiogram equivalents stemi anaphylaxis b12 bells cobalamin complexes deficiency embolism embolus hematology interpretation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Checklist #Diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... • Myocardial ischemia ... Digoxin toxicity Symptoms ... 300 = NSVT EKG ... more intensive treatment
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
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... hypoxia and organ ischemia ... (e.g. ... Check for IF ab Treatment ... e.g. leukemia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... examination and vital signs ... #Checklist #Diagnosis
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... inflammatory cause) • EMG ... #Management #Treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... #Checklist #Diagnosis
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