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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An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Acute Dyspnea - Diagnostic ... physical exam (e.g ... . cardiac, pulmonary ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... list here, ie hyponatremia ... will also get an EKG ... and CXR ... #diagnosis #workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest, start CPR ... as patient is stable ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Consider monitoring cardiac ... cultures if possible (eg ... #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
problem. ❸ Call for cardiac ... Start continuous CPR ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup