14 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... 1) 2+ flares/year ... 2) Gouty tophi ... #diagnosis #management ... #treatment #ULT
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... forefoot, ankles, knees ... treatment; consider ... 2 attacks in a year ... #diagnosis #management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
bradycardia, conduction blocks ... immediate clinical team ... Anaesthetic #Toxicity #Anesthesiology ... Checklist #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Central Neuraxial Block ... inform theatre team ... Central #Neuraxial #Block ... #Anesthesiology ... Checklist #Diagnosis #Management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
person-years • 50-year ... phenoxybenzamine blocks ... • Treatment of ... blockers cancel out ... #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
inform clinical team ... thoracotomy is a better treatment ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... with surgical team ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
inform theatre team ... ❹ Call for MH treatment ... COMPLICATIONS AND OUTLINE TREATMENTS ... Hyperthermia #Crisis #Anesthesiology ... Checklist #Diagnosis #Management
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... 3) 2+ gout flares ... /year 4) consider ... #Management #treatment
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
in the US each year ... • Must rule out ... need to be ruled out ... Transverse Myelitis Treatment ... Myelitis #diagnosis #management