19 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... 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 ... #differential #
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
heart disease Causes ... • Myocardial ischemia ... • Underlying ischemic ... Digoxin toxicity Symptoms ... 300 = NSVT EKG
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... hypoxia and organ ischemia ... to manifest its symptoms ... , alcohol use, symptoms ... Deficiency #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... TLS #diagnosis #management
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... ophthalmoplegia), systemic signs ... , facial nerve ischemia ... Imaging (if atypical symptoms ... CNS inflammatory cause
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... , - regional ischemia ... ., uptake by cells ... - regional ischemia ... - Mesenteric ischemia
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... : o Cardiac ischaemia ... → 3-12 o Anaphylaxis ... #Hypotension #Differential ... Checklist #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Summary Causes ... : • Triad of symptoms ... perfusion → renal ischemia