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diagnosis differential management anesthesiology checklist clinical intraoperative pulmonary workup acs acuteinterstitialpneumonia aip algorithm amiodarone angina bradyarrhythmia cardiac chestpain echocardiogram edema
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Follow the full steps ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Management #Workup #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... symptoms may include chest ... CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Sick Sinus Syndrome ... AV block 1º - long ... 200ms from longer pause ... bradyarrhythmia #ECG ... electrocardiogram #cardiology
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Evaluation Algorithm ... Ask about: - Changes ... - History - EKG ... diagnosis #Algorithm #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter • Bradycardia ... dysfunction • Bradycardia-tachycardia ... disease • Severe bradycardia ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... specific questions to ask ... complications from anesthesia ... one post op Cardiology ... unless prior heart/lung
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... symptoms are not caused ... of diagnosis (e.g ... dyspnea, cough, chest ... anterior/posterior MSK
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... syndrome (ARDS) ... Transfusion-related acute lung ... differential #diagnosis #cardiology
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... acute respiratory distress ... syndrome) is rare ... Exclude other causes
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... pathway that can cause ... This includes long ... Utility: • Syncope evaluation ... #cardiology #differential
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