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diagnosis anesthesia anesthesiology checklist intraoperative treatment cardiology ekg electrocardiogram equivalents stemi behcet criticalcare cyanosis disease hyperkalemia hypotension hypoxia interpretation ischaemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... depression • T wave ... Checklist #Diagnosis #Management ... #Workup
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 ... Interpretation #differential
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 ... #differential #
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... monitor, telemetry, 12 ... -Lead EKG • Ensure ... Cardiac surgery?
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... #Hypotension #Differential ... Checklist #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... bradycardia → sine wave ... line, stabilizes cardiac
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Non-neuromuscular disorder (Cardiac ... endocrine: Vitamin B12 ... Lack of UMN/LMN signs ... dystrophies Work
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
thrombosis, VTE) • Cardiac ... Behcet disease) Differential ... retinal tears, Ischemia ... Syndrome #diagnosis #management ... #signs #symptoms
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 ... #Management #Workup
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