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management anesthesia anesthesiology checklist differential intraoperative treatment amyloidosis arrest cardiogenic chest cooling cost dcsi decisionaid detroit effectiveness em evaluation fever
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... indications: • Echocardiogram ... • Brain MRI • EEG ... #diagnosis #workup
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... - exertional syncope ... despite hx HTN) EKG ... precordial leads) - atrial ... Signs #Symptoms #Cardiology
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
and Workup Algorithm ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... , PT. aPTT • Serial ... #Algorithm #workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Obtain femoral arterial ... Initiative #Management #Cardiology
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... #hematology #diagnosis ... #algorithm #hematology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Management #Workup
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
have no serious diagnosis ... a negative ED work-up ... written at an 8th-grade ... natural frequency (e.g ... #PatientInfo #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... consciousness • Near-syncope ... , or syncope: Hemodynamically ... #Palpitations #Cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... recent DAN) • EMG ... RBC casts, low grade
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... release assay (e.g ... upon geography/travel ... Neuroimaging • Echocardiogram ... #diagnosis
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