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diagnosis anesthesia anesthesiology cardiology workup intraoperative clinical criticalcare differential endocarditis sign algorithm amyloidosis anaphylaxis aortic arrest causes chf cooling embolism
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... if suspected (e.g ... consultation • Valve regurgitation ... block (+/- daily EKG ... of infection (e.g
Lincoln Sign in Aortic Regurgitation Lincoln sign in AR, elevated foot bobs up and down with each
Aortic Regurgitation ... down with each cardiac ... Insufficiency #PhysicalExam ... #Video #clinical ... #cardiology
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 Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... , Symptoms and Management ... despite hx HTN) EKG ... #Amyloidosis #Cardiac ... #Cardiology #Staging
Severe Tricuspid Regurgitation on JVP Examination What information about the patient do we get from this #JVP
Cardiac rhythm? ... #TR #Lancisis #Sign ... #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
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 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 ... #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... hyperthermia crisis (late sign ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
aortic and mitral regurgitation ... ↑ ESR, CRP • EKG ... Marantic: Emboli > Regurgitation ... Endocarditis #diagnosis #management ... #cardiology
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