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differential cardiology neurology signs treatment anesthesiology checklist workup cardiac electrocardiogram equivalents intraoperative stemi amyloidosis arteritis b12 bells causes cobalamin complexes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... is conscious, symptoms ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
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 ... #ECG #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... syndrome - J-point ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid - Diagnosis ... , Signs, Symptoms ... and Management ... despite hx HTN) EKG ... #Signs #Symptoms
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Checklist #Diagnosis ... #Management #Workup
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
(e.g. oculomotor ... AQP4-lgG disease; e.g ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
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 ... #TLS #diagnosis ... #management #hematology
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... • Myocardial ischemia ... Digoxin toxicity Symptoms ... 300 = NSVT EKG
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Signs and symptoms ... Radiographic findings (eg ... Laboratory findings (eg ... VEP’s: EEG of visual
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