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differential cardiology management anesthesia anesthesiology checklist ecg electrocardiogram intraoperative equivalents ischemia anaphylaxis causes complexes criticalcare elevation embolism embolus indications interpretation
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... syndrome - J-point ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
- Workup and Differential ... Diagnosis Approach ... renal bruit or signs ... Coarctation of aorta ... #Workup #causes
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... STElevation #ST #STEMI
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... abnormalities (hypo- or hypertension ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Management Summary • Hypotension ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery?
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... syndrome, ARVC) ... • Hypertension, ... Causes: • Hypertension ... 300 = NSVT EKG
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Non-neuromuscular disorder (Cardiac ... Lack of UMN/LMN signs ... dystrophies Work ... #Differential #Diagnosis
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