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differential management anesthesia anesthesiology checklist intraoperative cardiology ecg electrocardiogram symptoms equivalents hepatology ischemia anaphylaxis block cardiac central classification cushings dengue
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
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... (e.g. cirrhosis ... dullness, puddle sign ... incisional). 3) Signs ... #workup #Differential
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Diagnosis Approach ... and signs of end-organ ... renal bruit or signs ... Coarctation of aorta ... #Workup #causes
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential Diagnosis ... significant portal HTN Signs ... of portal HTN: ascites ... obstruction) • Lack of signs
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #ekg #electrocardiogram
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
without warning signs ... Dengue with warning signs ... the following signs ... accumulation (ascites ... classification #diagnosis
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Hypotension ... Consider other causes ... that may mimic signs ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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