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cardiology differential anesthesia anesthesiology checklist intraoperative treatment algorithm cardiomyopathy endocarditis palpitations peripartum pulmonary anaphylaxis arrest bradyarrhythmia bradycardia chest chf clinical
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR ... , PT. aPTT • Serial
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
FLUTTER • HEART ... PARKINSON WHITE SYNDROME ... SYPATHOMIMETICS • CARDIAC ... #Differential #Diagnosis ... #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(3) Multifocal atrial ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... flutter, or atrial ... Nonarrhythmic Cardiac ... #Palpitations #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... • Diagnostic ... Plan definitive management ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Consider invasive arterial ... consultation with cardiology ... 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 ... #TLS #diagnosis ... #management #hematology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... Inherited arrhythmia syndromes ... syndrome, ARVC) ... 300 = NSVT EKG ... capture of the atria
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