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diagnosis management differential anesthesia anesthesiology cardiology checklist nephrology rhabdomyolysis bradycardia ekg elevation fever hyperkalemia hyperthermic intraoperative neurology perioperative person potassium
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 ... #Differential #Causes ... Diagnosis #Management #Workup
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
paralysis, post-hypothermia ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table
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
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... , digoxin etc) ... hyperkalaemia, hypothermia ... Diagnosis #Management #Workup
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