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diagnosis anesthesia checklist intraoperative differential treatment cardiology ekg electrocardiogram equivalents stemi anaphylaxis bells cardiacglycoside cyanosis digitaliseffect digoxin digoxintoxicity embolism embolus
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Ischaemia - Guidelines ... of cardiac ischaemia ... ischaemia ❶ ... possible. ❺ If ischaemia ... #Ischemia #Ischaemia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... of Ischemia - ... bigger than QRS - deWinter ... Wong @mchlwng #Ischemia
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 ... deviation) • Acute ischemia ... #Equivalents #ECG
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Diagnosis and Workup ... No additional workup ... inflammatory cause) • EMG
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... examination and vital signs ... Plan definitive management ... #Tamponade #Anesthesiology ... #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... line, stabilizes cardiac ... ileus/obstruction (ischemia
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 ... Embolism #VTE #Anesthesiology ... #Workup
The chemical formula of Digoxin is C41 H64 O14. Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
Digoxin (Cardiac ... Cardiac glycosides ... hypercalcemia, myocardial ischemia ... often the first sign ... effect" on the ECG
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