31 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... , PT. aPTT • Serial
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... of cardio-pulmonary ... also a result of atrial ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... thoracotomy is a better treatment ... Intraoperative #Checklist ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... heart disease Causes ... with abnormal morphology ... more intensive treatment ... #differential #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup