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differential management cardiology anesthesia anesthesiology checklist ecg electrocardiogram intraoperative equivalents ischemia cardiac central clinical complexes echocardiogram elevation emergency gravis hematology
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
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Workup and Differential ... Diagnosis Approach ... non-obese, non-black ... Coarctation of aorta ... #Workup #causes
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... Framework STEMI ... STE: "Pardee's 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 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Excessive insulation, high ... hyperthermia crisis (late sign ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
syndrome, ARVC) ... • Hypertension, ... : • Hypertension ... Bundle branch block ... 300 = NSVT EKG
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... • Exclude high ... Pneumothorax and/or high ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... abnormalities (hypo- or hypertension ... Have a high index ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ab to AChR blocks ... dystrophy - Brain stem ... Serologic and EMG ... test - Cogan sign ... - Peek sign
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