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management cardiology anesthesia anesthesiology intraoperative workup clinical differential echocardiogram algorithm criticalcare pericardial tamponade complex foamed heartfailure pharmacology pocus pulmonary treatment
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension • Record estimated PASP • Evaluate RV size
Checklist for the ... Evaluate for signs of elevated ... for pericardial effusion ... • Evaluate for causes ... Echocardiography #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... • Malignancy (e.g ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... #cardiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... acid, Elevated Cr ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... indicated, start CPR ... • Diagnostic ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tracheal tube. ❺ Elevate ... arrest, start CPR ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... equate that an elevated ... Causes of elevated ... - Cardiac arrest ... failure - Low cardiac
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... which rules out CV fusion ... found to have elevated ... the underlying diagnosis ... PHTN #JVP #Neck #PhysicalExam
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... ECG is vital while ... Troponin may be elevated ... Cardiac cath if ... the determined cause
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