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diagnosis cardiology anesthesia anesthesiology checklist ekg intraoperative bradyarrhythmia cardiac elevation encephalopathy endocarditis hyperthermia ischaemia ischemia neurology palpitations perioperative posterior pres
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #electrocardiogram ... #cardiology #differential
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... 10% above this level ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Actively maintained fever ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... diphtheria, typhoid fever ... Physiological causes ... #Differential # ... Diagnosis #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Electrolyte imbalance • Fever ... #Palpitations #Cardiology ... #Differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework STEMI ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... Reversible course Differential ... altered level of ... the underlying cause ... Syndrome #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
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