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management checklist anesthesia anesthesiology cardiology intraoperative ecg electrocardiogram stemi causes criticalcare equivalents ischemia treatment anaphylaxis ascites complexes delirium elevation embolism
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
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 ... #EKG #diagnosis ... Interpretation #differential
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... tox/infectious workup ... #CriticalCare #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... block; and sinus tachycardia ... #ecg #ekg #electrocardiogram
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... shock state) • Tachycardia ... 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 ... 300 = NSVT EKG ... may not occur Differential ... Diagnosis: • PAC ... #differential #
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnosis The ... than one cause (e.g ... dullness, puddle sign ... incisional). 3) Signs ... Jcortesizaguirr #Ascites #workup
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
hyperthyroidism Diagnosis ... threatening: - Tachycardia ... Cardiac arrhythmia ... #differential # ... endocrinology #signs
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential ... Diagnosis Approach ... renal bruit or signs ... Coarctation of aorta
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