53 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... veins to become distended ... Thyroid #Goiter #PhysicalExam ... vascular #neck #mass #SVC
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
found to have distended ... What is the cause ... suggesting a possible SVC ... stenosis of his SVC ... #Video #Chest #PhysicalExam
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
for Suspected SVC ... Syndrome SVC ... arm/neck edema, distended ... syncope, etc SVC ... Algorithm #diagnosis #management
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
determine the cause ... • SVC Obstruction ... & upper thorax distend ... abdominal veins also distend ... #Blood #Flow #physicalexam
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
Intraoperative Hypertension ... hypercarbia as causes ... antihypertensives • Distended ... syndrome) • Medical causes ... Checklist #Diagnosis #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Increases BP, SVR ... Increases BP, SVR ... • Higher doses cause ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... likely underlying cause ... Discuss ongoing management ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Shock - Distended ... veins, dilated IVC ... Flat, collapsible IVC ... Shock #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... in Anaesthesia Causes ... mainstay of initial management ... mainstay of initial management ... Anesthesiology #Anesthesia #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... or iatrogenic causes ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management