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management differential anesthesia anesthesiology checklist endocarditis intraoperative acidosis acutepe afib atrial causes classification clinical cyanosis echocardiogram electrocardiogram elevation embolism emergency
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... Incomplete or Complete ... leads) RV Ischemia ... #EKG #Pulmonary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Stop or rapidly complete ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... anti-GBM) Other tests ... recent DAN) • EMG
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
the patient’s complete ... tests before beginning ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... determine if stress test ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Irregular wide-complex ... serum creatinine, test
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Cerebral > Splenic, Pulmonary ... Early embolic/ischemic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
ischaemia (or infarction ... tamponade → 3-9 ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... #Workup #Management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
risk of sudden cardiac ... Epsilon #clinical #diagnosis ... not have obvious ischemia ... risk for sudden cardiac ... #cardiology #differential
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