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diagnosis anesthesia anesthesiology criticalcare delirium evaluation intraoperative perioperative alteredmentalstatus bells bradycardia cardiac cardiology causes confusion crisis differential endocarditis fuo gravis
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
assessment - Vital signs ... Relevant drug levels (e.g ... appropriate Consider CT ... of infection (fever ... rigidity) Consider EEG
Management Algorithm for Confusion - Substrate verification, glucose, oxygen checks - Toxidrome present - Focal findings on neurologic examination -
Management Algorithm ... Focal findings on neurologic ... examination - Fever ... electrolytes, CXR, ECG ... include cranial CT
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
CT scan, if suspect ... if suspected (e.g ... • Persistent fever ... block (+/- daily EKG ... of infection (e.g
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Actively maintained fever ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Workup
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... release assay (e.g ... ESR, +/- CRP • CT ... DrEricStrong #FUO #Algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... No additional workup ... CN7, parotid), CT ... inflammatory cause) • EMG ... #Treatment #Neurology
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest ... - Infectious workup ... oral secretions (e.g ... monitoring (vital signs ... #Management #CriticalCare
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Serologic and EMG ... - Peek sign ... Imaging - CT Chest ... Gravis #diagnosis #management ... #neurology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
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