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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... is conscious, symptoms ... consultation with cardiology ... #Anesthesia #Intraoperative
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Presentation: Systemic Symptoms ... purpura: Strong sign ... • Progressive symptoms ... nonspecific white and gray ... tract, and often causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... the determined cause ... #differential #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... murmur 3/6) - Pulmonary ... history of: a) Ischemic ... event, follow ACC algorithm ... unless prior heart/lung
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
goals of assessing lung ... there are any signs ... /symptoms of worsening ... #Algorithm #Effusion ... Management #Pleural #Pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Vital signs: BP ... Most commonly caused ... #Radiology #CTChest ... #Lung #Pulmonary