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diagnosis cardiology differential anesthesiology cardiac checklist electrocardiogram intraoperative stemi treatment workup amyloidosis bells bradycardia embolism embolus evaluation hematology interpretation ischaemia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... or R/S>I STEMI Equivalents ... / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Amyloid - Diagnosis, Signs ... , Symptoms and Management ... AL) - Kussmaul sign ... despite hx HTN) EKG ... #Signs #Symptoms
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #ECG #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... is conscious, symptoms ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... Connect ECG Leads ... #differential #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia
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 ... TLS #diagnosis #management
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
Diagnosis and Management ... ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... inflammatory cause) • EMG
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
life • M=F Symptoms ... and Signs: 50% ... and signs: • ... diagnostic procedures (eg ... , induction of anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Highest metabolic equivalent ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if:
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