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diagnosis cardiology differential management workup algorithm anesthesia anesthesiology criticalcare electrocardiogram infectiousdiseases intraoperative treatment acutepe airway aspergillus cva cyanosis ecg elevation
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... #checklist #criticalcare
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... evaluating for other causes ... • Non-specific ST-T ... #EKG #Pulmonary
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
positive in 90% of IE cases ... Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Cerebral > Splenic, Pulmonary ... cause injury by ... ↑ ESR, CRP • EKG ... Treat underlying cause
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Respiratory: • Pulmonary ... Embolism • Hypoxia ... • Anemia • Medications ... Tachyarrhythmia: • VT ... Diagnosis #Algorithm #causes
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary ... vagal maneuvers: SVT-AVNRT
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Finger glucose • Medication ... Evaluate underlying cause ... Cardioembolic: • ECG ... No major-risk embolic ... workup #diagnosis #checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Intraoperative #Checklist
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... Embolism: • T-wave ... voltage Other Causes ... #ekg #electrocardiogram
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