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diagnosis workup anesthesia anesthesiology cardiogenic differential intraoperative neurology shock angina cardiac causes chestpain chf clinical cyanosis dcsi detroit ebm echocardiogram
Causes of Ischemic Stroke - Differential Diagnosis Algorithm Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia - Large
Causes of Ischemic ... Diagnosis Algorithm ... • Bacterial endocarditis ... • Shock #Ischemic ... #Stroke #CVA #Neurology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... moderate or severe ischemia ... on results of ISCHEMIA ... #Algorithm #Cardiology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
you work up an ischemic ... ) B) Evaluate ischemic ... Cardioembolic: • ECG ... udaygulati #ischemic ... #CVA #stroke #workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... admission: acute ischemia ... territories: mesenteric ischemia ... , stroke in right ... MCA and ischemia
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 Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- EKG & echocardiography ... antiarrhythmics - Ischemic ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... #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 ... indicated • EKG ... Obtain EKG if: ... • <6mo since stroke
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... - ↓ Effective arterial ... heparinized tube) • ECG ... Calcium 2-3g IV Ca-gluconate ... ileus/obstruction (ischemia
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