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workup anesthesiology checklist intraoperative cardiology differential clinical algorithm complex echocardiogram effusion pericardial pocus treatment anaphylaxis arrest biopsy cardiacarrest cardiomyopathy catheterization
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... • Pulmonary embolism ... • Cardiac tamponade ... Initial workup: • EKG ... ultrasound • CXR
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... #Cardiac #Tamponade ... Anesthesiology #Anesthesia ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... tamponade → 3-9 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Hypothermia Tamponade ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... : • New cardiac ... Cause Injury By ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
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