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diagnosis management workup anesthesiology checklist intraoperative differential symptoms manifestations allergy amyotrophic arteritis cardiac cardiacarrest cns embolism embolus encephalitis gca giantcell
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... alternate vasopressor (e.g ... #Anaphylaxis # ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... rhythm, treat as ... • Also consider ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... CM5 continuous ECG ... as soon as possible ... Anesthesiology #Anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... • As soon as ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis
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 ... Anesthesiology #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... • Also consider ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... Gastrointestinal - Nausea ... abdominal cramps Neurologic ... Diagnosis #Allergy #Signs ... #Symptoms #Anaphylaxis
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 Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... AQP4-lgG disease; e.g ... deficits ranging from paresthesia ... Manifestations #diagnosis #neurology ... #symptoms #signs
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
hypertension is defined as ... hypertension and signs ... heart failure, neurologic ... renal bruit or signs ... Neurologic disorders
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