61 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... failure • Severe pulmonary ... Leptospirosis #Leptospira #microbiology ... #diagnosis #treatment ... #management
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... such as reflex ... further guide management ... Further diagnostics ... The treatment strategy
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
+/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... #Hantavirus #diagnosis ... #management #treatment ... #microbiology #
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... likely underlying cause ... within 1 h (seek microbiology ... #Checklist #Diagnosis ... #Management #Workup
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... Cardiac, Neuro 4) Diagnose ... the underlying cause
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... Diagnosis: • Physical ... Specificity of 97%) Treatment ... #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Diagnostic ... thoracotomy is a better treatment ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... trolley, anaphylaxis treatment ... require prolonged treatment ... #Checklist #Diagnosis ... #Management #Workup
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... no respiratory cause ... , Diaphoresis, Pulmonary ... Toxicity #Toxicology #diagnosis ... #management #Treatment
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... mortality), Other causes ... airway / remove mask ... #Ventilation #diagnosis ... #management #indications