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differential management cardiology pulmonary anesthesia anesthesiology checklist classification complexes edema elevation endocarditis hematology hyperkalemia infectiousdiseases intraoperative ischemia k lactate lactic
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
flattening or inversion ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
source of energy, conversion ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... - Compartment syndrome
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... line, stabilizes cardiac
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... unless worrisome EKG ... with tetany or cardiac ... #TLS #diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... syndrome, ARVC) ... heart disease Causes ... • Myocardial ischemia ... more intensive treatment
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... recent DAN) • EMG ... Goodpasture's cause ... #management #treatment
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... • Negative for ischemic ... respiratory distress syndrome ... (ARDS) • Opioid
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Cholesterol emboli syndrome ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Treat underlying cause
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