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diagnosis management differential anesthesiology checklist intraoperative cardiology nephrology rhabdomyolysis anaphylaxis bradycardia ekg elevation fever hyperkalemia hyperthermic k neurology perioperative person
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Peri-operative Hyperthermia ... Treatment depends ... #Differential #Causes ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... Herpes, Coxsackie etc ... per day until stable ... Management #Summary #causes ... #treatment
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... , digoxin etc) ... hyperkalaemia, hypothermia ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... -1); malignant hyperthermia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Exertional: - Hyperthermia ... - Malignant hyperthermia ... Herpes, Coxsackie, etc ... per day until stable
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
• Serotonin Syndrome ... dopamine blockers (e.g ... pharmacogenetic disease caused ... #Toxidromes #comparison ... #table #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... voltage Other Causes ... be seen in: • Hypothermia ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Prevalence: 1-2 cases ... antibody that works ... autoantibodies - TPO, TTG, etc ... Treatment: • ... Diagnosis #Management #treatment
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