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management cardiology anesthesiology checklist workup differential intraoperative cardiomyopathy electrocardiogram endocarditis myasthenia neurology peripartum acutepe anaphylaxis bradycardia complexes elevation embolus hyperthermia
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... #diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... ); circulatory embolus ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
myasthenia Diagnosis ... Serologic and EMG ... Imaging - CT Chest ... Myasthenia Crises ... #diagnosis #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... serologic, and EMG ... More likely to cause ... characteristic EMG ... undergo chest CT
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Sanguinis, Mitis, Oralis ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Sanguinis, Mitis, Oralis ... cause injury by ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Treat underlying cause
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