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diagnosis cardiology management differential clinical workup anesthesia checklist intraoperative complex effusion evaluation pericardial pocus tamponade treatment a4c acs angina cardiogenic
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Anesthesiology
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... , LET, lipase, PT
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... consider: o Cardiac ... ischaemia → 3-12 ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... exam • 12-lead ECG ... Nonarrhythmic Cardiac ... Flag Symptoms: • Chest ... #Palpitations #Cardiology
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... Fick calculated cardiac ... Angiography & PCI
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... heart disease Causes ... • Myocardial ischemia ... • Underlying ischemic ... #differential #cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... recent DAN) • EMG ... Goodpasture's cause
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Hypoxia #Cyanosis #Anesthesiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... history of: a) Ischemic ... event, follow ACC algorithm ... change CV risk Chest ... postoperative cardiac
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