17 results
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... flood wound with saline ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Red Blood Cell (RBC) Morphology
Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
Blood Cell (RBC) Morphology ... Chemotherapy (e.g ... #differential #diagnosis ... #hematology #microscopy ... #atlas #nomenclature
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Cardioembolic: • ECG ... No major-risk embolic ... #CVA #stroke #workup ... #diagnosis #checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... complex Pulmonary Embolism ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... . central line placement ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... ); circulatory embolus ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Hypercoagulable (APLAS ... ↑ ESR, CRP • EKG ... #Differential #Diagnosis ... #cardiology #infectiousdiseases