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diagnosis anesthesia checklist intraoperative workup cardiology differential treatment arteritis b12 bells block cardiac central cobalamin deficiency electrocardiogram embolus endocarditis equivalents
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Myocardial infarction: Classified into 5 types based on etiology and circumstances: Type 1: Spontaneous MI caused by ischemia
coronary event (eg ... oxygen demand (eg ... decreased supply (eg ... artery spasm or embolism ... #CAD #thrombosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Ischaemia #Anesthesiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... over 2 h (>65 kg ... #Anesthesiology
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... GCA can present ... #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Gastric & Ovarian CA ... /ischemic insult ... ↑ ESR, CRP • EKG ... Regurgitation • Colon CA ... Endocarditis #diagnosis #management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Symptoms are ... that may mimic signs ... • Embolism. ... Neuraxial #Block #Anesthesiology ... Checklist #Diagnosis #Management
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... hypoxia and organ ischemia ... (e.g. ... other diagnosis e.g ... Deficiency #diagnosis #management
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... ): MRI+gad (stroke ... inflammatory cause) • EMG
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
defining feature, PRS can ... EGPA) • Digital ischemia ... recent DAN) • EMG ... or serologies + symptoms ... differential #diagnosis #management
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