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diagnosis management cardiology anesthesia anesthesiology checklist intraoperative bradycardia cyanosis ecg electrocardiogram equivalents evaluation fibrillation hypotension hypoxia ischemia pain palpitations perioperative
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... MatthewHoMD #Chest
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... exercise intolerance, chest ... Cardiac: • Valvular ... Decompensated HF • New ischemia ... #Management #Algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... symptoms may include chest ... Consider invasive arterial ... Diagnosis #Management #Workup
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... Ischemia? ... bradycardia #diagnosis #differential ... #management #cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... chest to evaluate ... typically seen on chest ... CT
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... accompanied by chest ... deviation) • Acute ischemia ... #differential #
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... flip-flopping in the chest ... Flag Symptoms: • Chest ... #Palpitations #Cardiology ... #Differential #
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 ... #Hypotension #Differential ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Breathing • Check chest ... , chest X-ray. ... • Asymmetrical chest ... ischaemia (or infarction ... #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest
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