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management differential anesthesia anesthesiology cardiology checklist intraoperative criticalcare ecg electrocardiogram equivalents neurology stemi symptoms syndrome algorithm anaphylaxis ascites bells cardiacglycoside
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 ... #ECG #EKG #diagnosis
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 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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 ... #EKG #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment
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 ... Syndrome #TLS #diagnosis
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
than one cause (e.g ... carcinomatosis, HF ... dullness, puddle sign ... incisional). 3) Signs ... Jcortesizaguirr #Ascites #workup
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Low BMI < 18.5 kg ... overload -> - CHF ... - Pulmonary ... Refeeding #Syndrome #diagnosis ... pathophysiology #symptoms #signs
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 ... #management #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... thoracotomy is a better treatment ... examination and vital signs ... #Management #Workup
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Cardiac arrhythmia ... psychosis - CHF ... ↑ AST/ALT • Treatment ... tenderness Treatment ... endocrinology #signs
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