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management anesthesia anesthesiology checklist symptoms workup differential hyperthermia intraoperative allergy antinxp2 antinxp2dm arteritis bilateral blines contusion crisis criteria ctchest dermatology
Clinical manifestations of anaphylaxis. Neurological (<15%): Dizziness, syncope, seizures, Confusion, impending doom. headache Angioedema: Lips, tongue, orbit,
Clinical manifestations ... Kounis syndrome Lungs ... intestinal edema, abdominal ... #signs #symptoms ... #diagnosis #criteria
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Lung POCUS shows ... partially seen shred sign ... NOT definitively diagnose ... #POCUS #clinical
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... treatment pack ... require prolonged treatment ... an appropriate critical ... Intraoperative #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Anesthesia #Checklist #Diagnosis
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism Overview Clinical ... ↑ AST/ALT • Treatment ... fibrillation/flutter • Abdominal ... hyperthyroidism #causes ... endocrinology #signs
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... other, more common causes ... ❹ Call for MH treatment ... hyperventilate lungs ... Intraoperative #Checklist #Diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... of the steroid treatment ... Treatment of GCA ... GCA #Temporal #Signs
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
chest (in a V-sign ... auricular papules Clinical ... Muscle atrophy may cause ... Non-small-cell lung ... positive patients Treatment
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... consider intra-abdominal ... Radiology #CTChest #Lung
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