19 results
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... indicated • EKG ... Obtain EKG if: ... undergoing AAA or upper abdominal ... medical and surgical management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Artery Disease • Stable ... Kyphoscoliosis • Abdominal ... Distention Pulmonary ... #Dyspnea #SOB #Differential
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... heartblock w/o pacemaker ... arrythmias Diagnostics: EKG ... Testing #cardiology #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Set pacemaker to ... bradycardia #diagnosis #differential ... #management #cardiology
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
• Permanent pacemaker ... • Other intra-abdominal ... • Major intra-abdominal ... Bleeding #Risk #Preoperative ... #Procedures #Table
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... - Differential ... • Extrinsic (e.g ... Injury, Stroke) #Abdominal ... #Distention #Differential
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... increase the risk of abdominal ... limit them as able ... Checklist #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... anaesthesia #Perioperative ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Pain - Differential ... cancer • Liver distention ... Somatization #Chronic #Abdominal ... #Pain #Differential