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diagnosis cardiology management clinical ekg elevation nephrology rhabdomyolysis acidosis algorithm anesthesia anesthesiology bradyarrhythmia bradycardia checklist chf classification complexes criticalcare echocardiogram
Fever vs Hyperthermia Fever: • Regulated in the hypothalamic thermoregulatory center • "Set point" raised by prostaglandin
TNF-a1pha, IL-6, etc ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... • Treatment: ... #comparison #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Peri-operative Hyperthermia ... Treatment depends ... maintained fever CAUSES ... OF HYPERTHERMIA ... #Differential #
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Rhabdomyolysis - Differential ... Herpes, Coxsackie etc ... per day until stable ... Management #Summary #causes ... #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Management Summary Causes ... Exertional: - Hyperthermia ... - Malignant hyperthermia ... Herpes, Coxsackie, etc
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... #electrocardiogram ... #cardiology #differential
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
• Serotonin Syndrome ... pharmacogenetic disease caused ... #Toxidromes #comparison ... #table #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... voltage Other Causes ... be seen in: • Hypothermia ... #ekg #electrocardiogram
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... plasma insulin (treatment ... megaloblastic anemia, Hypothermia ... #Hypokalemia #Causes ... #differential #
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... (e.g., long QT ... syndrome, ARVC) ... heart disease Causes ... more intensive treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... hypoxemia/Sepsis etc ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome
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