9 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... AL) - Kussmaul sign ... despite hx HTN) EKG ... #Signs #Symptoms
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Checklist #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... of more of the signs ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Manifestations of Anaphylaxis by Body System

Dermatologic/mucosal

 - Eyes: periorbital swelling/erythema, injected conjunctiva, tears

 - Oral mucosa:
Manifestations of Anaphylaxis ... bradycardia, shock, T-wave ... leads, cyanosis, cardiac ... Diagnosis #Allergy #Signs ... #Symptoms #Anaphylaxis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... mainstay of initial management ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... examination and vital signs ... Plan definitive management ... Checklist #Diagnosis #Management