18 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... Presentation: • Mild ... : conjunctival suffusion ... non-productive cough, nausea ... diagnosis #treatment #management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... symmetry, rate, breath ... rate, rhythm, perfusion ... Checklist #Diagnosis #Management ... #Workup
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... sudden-onset shortness of breath ... and spaces can cause ... travels from these areas ... in subcutaneous areas
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
symmetry, rate, breath ... rate, rhythm, perfusion ... , 12-lead ECG, chest ... Checklist #Diagnosis #Management ... #Workup
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
involve anterior chest ... Rule out other causes ... radiographs of affected areas ... the collar bone, breast ... Rheumatology #diagnosis #management
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
restricted to areas ... small pleural effusions ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... symptoms may include chest ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
symmetry, rate, breath ... rate, rhythm, perfusion ... Consider known drug causes ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
hypercarbia as causes ... : • Check chest ... symmetry, rate, breath ... Checklist #Diagnosis #Management ... #Workup
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... full infectious work-up ... days → add fungal work-up ... underlying cause ... , SOB, pleural effusions