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diagnosis anesthesiology checklist differential intraoperative workup cardiology ekg electrocardiogram equivalents stemi syndrome behcet cardiacglycoside cobalamin cyanosis deficiency digitaliseffect digoxin digoxintoxicity
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 ... #Cardiac #Ischemia
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
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia ... 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. ... lateral columns) • Takes ... Deficiency #diagnosis #management
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
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... heparinized tube) • ECG ... bradycardia → sine wave ... line, stabilizes cardiac ... ileus/obstruction (ischemia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
-lead ECG, chest ... embolism → 3-5 o Cardiac ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Diagnosis #Workup #Management
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
thrombosis, VTE) • Cardiac ... oral ulcers in 12 ... retinal tears, Ischemia ... Syndrome #diagnosis #management ... #signs #symptoms
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