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management cardiology checklist workup anesthesiology differential intraoperative cardiomyopathy electrocardiogram gravis myasthenia peripartum acutepe anaphylaxis barre bells bradycardia complexes cva elevation
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #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
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... ); circulatory embolus ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
• Non-contrast CT ... Cardioembolic: • ECG ... No major-risk embolic ... stroke #workup #diagnosis ... #checklist #neurology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment ... #differential #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
serologic, and EMG ... More likely to cause ... characteristic EMG ... undergo chest CT ... #management #neurology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... cause injury by ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... #cardiology #infectiousdiseases
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