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cardiology clinical diagnosis echocardiogram alternans electrical a4c anesthesia anesthesiology differential intraoperative management plax tamponade workup acidosis causes classification cyanosis elevation
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... CAUSES • PRIMARY Cardiac ... have to repeat if malignancy
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
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 Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
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 Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
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 Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... on POCUS Echocardiogram ... K 5.9 without EKG ... #Pericardial #Effusion ... #Cardiac #Tamponade
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 Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... on POCUS Echocardiogram ... K 5.9 without EKG ... #Pericardial #Effusion ... #Cardiac #Tamponade
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 Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
• If narrow complex ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... anaphylaxis (→ 3-1); malignant ... Intraoperative #Checklist
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
(e.g. hematologic ... Endocrine disorders (e.g ... Lungs: • Pleural effusions ... Serositis: • Pleural/pericardial ... small and large bowel
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... drugs, seizures, malignancy ... the patient’s complete ... - Cardiac arrest
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
reservoir bag and APL ... blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... Sepsis → 3-14 o Malignant ... Intraoperative #Checklist
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