Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... Nodule / mass β€’ Masses ... Pneumomediastinum, Pericardial effusion ... β€’ CXR rotation ... #Differential #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... help and inform clinical ... indicated, start CPR ... β€’ Diagnostic ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... arrest, start CPR ... an appropriate critical ... Intraoperative #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
rate, rhythm, perfusion ... POTENTIAL CAUSES ... o Aspiration, pulmonary ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... anaesthetic (remember infusion ... inform immediate clinical ... Start continuous CPR ... Intraoperative #Checklist #Diagnosis
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
hypnosis as soon as clinical ... fluid by rapid infusion ... β€’ CPR may be ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
oxygen and face mask ... Consider other causes ... negative-pressure pulmonary ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Guidelines for Crises ... . ❼ Use rapid infusion ... an appropriate clinical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis