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diagnosis differential workup anesthesiology checklist intraoperative management acidosis lactate lactic rheumatology algorithm autoimmune cardiology causes classification crisis criticalcare cyanosis effusion
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 ... HHT • Primary systemic ... amyloidosis • Uremia ... have to repeat if malignancy
Hemolytic Anemia - Differential Diagnosis Algorithm • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia ... aHUS, mechanical cardiac ... valve, vasculitis, malignant ... Diagnosis #Algorithm #workup ... #hematology #testing
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
entire breathing system ... hypovolaemia; primary cardiac ... anaphylaxis (→ 3-1); malignant ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... dantrolene and cardiac ... Change breathing system ... #Malignant ... Anesthesiology #Anesthesia
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Infections • Malignancy ... Serositis: • Pleural/pericardial ... Cytopenias • Cardiac ... lymphopenia, low PLT • Anemia ... rule in SLE Malignancy
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Shock, Severe Anemia ... , Cardiac Arrest ... Beta-Agonists, ↑ work ... Impaired Clearance: Systemic ... Late Sepsis), Malignancy
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... Sepsis → 3-14 o Malignant ... #Management #Workup ... #anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
drugs, seizures, malignancy ... of Circulatory System ... perfusion - Cardiac ... failure - Low cardiac ... 30mmHg) - Severe anemia
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
lung disease Malignancy ... dermatomyositis) Malignancy ... • Pericarditis/Pericardial ... • Conduction system ... weakness • Severe cardiac
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