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diagnosis management neurology anesthesia anesthesiology differential workup intraoperative sclerosis als amyotrophic anaphylaxis bells cardiac cns crisis criticalcare encephalitis hyperthermia infections
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Myasthenia Gravis ... Serologic and EMG ... test - Cogan sign ... - Peek sign ... Gravis Treatment
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... serologic, and EMG ... More likely to cause ... characteristic EMG ... #Gravis #diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Checklist - Myasthenia ... Gravis Evaluation ... oral secretions (e.g ... monitoring (vital signs ... MyastheniaGravis #Checklist
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
brainstem syndromes (e.g ... AQP4-lgG disease; e.g ... Sjögren syndrome, Myasthenia ... gravis, Many others ... #symptoms #signs
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 ... hyperthermia crisis (late sign
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
Presentation - Young ... Radiographic findings (eg ... Laboratory findings (eg ... VEP’s: EEG of visual ... #treatment #MS
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... examination and vital signs ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Postsynaptic: Myasthenia ... Gravis - Lack ... of UMN/LMN signs ... electromyographic (EMG ... Differential #Diagnosis #neurology
Amyotrophic Lateral Sclerosis (ALS) Summary ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... Escorial criteria uses ... EMG: LMN Signs in ... diagnosis column Treatment ... Lateral #Sclerosis #neurology
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