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diagnosis anesthesia anesthesiology aortic cardiac differential dissection endocarditis intraoperative ischaemia perioperative preop preoperative stratification systolic vascular workup
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs ... • Rheumatic Heart ... Dysfunction • Ischemia ... #Cardiology #Differential ... #causes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
pre-existing history or risk ... especially in heart ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
irregular rhythm, new murmur ... history of: a) Ischemic ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Evaluation: 1. ... Assess for high risk ... BP • New AR murmur ... opiates • Control heart
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... • New cardiac murmur ... Early embolic/ischemic ... Endocarditis #diagnosis #management ... #cardiology
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