Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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checklist anesthesia workup intraoperative cardiac signs amyloidosis anaphylaxis arrest arteritis avnrt awaves block cannon causes central cooling crisis criticalcare differential
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
, Signs, Symptoms ... Clinical Presentation ... despite hx HTN) EKG ... #Signs #Symptoms ... #Cardiology #Staging
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... is conscious, symptoms ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
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 Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... indicated, start CPR ... pericardiocentesis kit (eg ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... #Symptoms #Diagnosis ... #Management
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
or TSH level if symptoms ... Pyridostigmine - New diagnosis ... oral secretions (e.g ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
hypnosis as soon as clinical ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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