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diagnosis cardiology differential management anesthesia anesthesiology intraoperative cardiac neurology arrest bradycardia cooling cva ecg edema ekg electrocardiogram elevation hyperthermia ischaemia
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #cardiology #MRI
Causes of Myocarditis Infectious Etiologies: • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Causes of Myocarditis ... Immunological Syndromes ... Churg-Strauss syndrome ... , Inflammatory bowel ... #causes
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... Diagnosis #Management #Workup
Causes of Myocarditis 1. Infectious Myocarditis • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Causes of Myocarditis ... Churg-Strauss syndrome ... , inflammatory bowel ... more commonly cause ... #diagnosis #cardiology
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist ... #neurology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... respiratory distress syndrome ... pulmonary edema • Bowel ... differential #diagnosis #cardiology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Prevalence: 1-2 cases ... unit activity on EMG ... of diazepam • EMG ... antibody that works ... Management #treatment #neurology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Pericarditis/Myocarditis ... voltage Other Causes ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Diagnosis #Management #Workup ... #Cardiology
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