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diagnosis management workup anesthesia anesthesiology cardiology criticalcare ecg ekg electrocardiogram equivalents intraoperative ischemia rheumatology signs stemi vasculitis aortoenteric arteritis block
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... assessment - Vital signs ... - CBC with differential ... presentation in winter ... nonconvuIsive status #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Symptoms are ... of unrelieved aorto-caval ... that may mimic signs ... and symptoms, including ... Intraoperative #Checklist
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... or TSH level if symptoms ... monitoring (vital signs ... MyastheniaGravis #Checklist
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
diffuse goiter (Graves ... antibodies (TRAb) if Graves ... causes #diagnosis #differential ... endocrinology #signs ... #symptoms #thyroid
Aortoenteric Fistula - Diagnosis and Management Summary Epidemiology: • Uncommon but life-threatening • Most common site of bowel connection
duodenum Clinical Signs ... /Symptoms: • Classic ... • Should be on differential ... de novo between aorta ... or within the aorta
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Regions - Frequent Differential ... infection Cardinal Symptoms ... without localizing signs ... or symptoms - Malaria ... Returning #Traveler #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... is conscious, symptoms ... Intraoperative #Checklist
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
Vasculitides - Differential ... < 30 years - Aorta ... branches • GCA: - Aorta ... Presentation - Systemic Symptoms ... purpura: strong sign
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