29 results
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... Also consider if ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... Autoimmune (SLE/APLS ... heart valves • MRI ... in up to 30% of cases ... often seen • MRI
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Phaeochromocytoma Neurologic ... #Checklist #Diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... without chest pain, as ... #Diagnosis #Cardiology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Clinical Features ... Diagnosis: • ... axonal form • MRI ... management #treatment #neurology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Normalization Spodick's sign ... Can also be seen ... in acute MI ... #cardiology #diagnosis ... #clinical
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... as soon as possible ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... an appropriate critical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
and Differential Diagnosis ... hypertension and signs ... 109 mm Hg) with clinical ... renal bruit or signs ... dysautonomia, and Guillain-Barre