14 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... Non-contrast CT (NCCT) head ... #CVA #stroke #workup ... #diagnosis #checklist ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Algorithm Clinical ... Immediate Workup ... Ischemic Stroke ... #differential #neurology ... #CVA
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
especially in heart ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
• Measurable neurologic ... present, in which case ... stroke, head trauma ... #tPA #Stroke #cva ... #management #neurology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• If heart rate ... : o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Differential Diagnosis Algorithm ... Ascending Aorta - Heart ... #Stroke #CVA #Neurology ... #Causes
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
• Excessive heat ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... Lytes including Ca ... antiarrhythmics - Ischemic ... #HeartFailure #Cardiology ... #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... Early embolic/ischemic ... Treat underlying cause ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management