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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Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
thromboembolism β†’ Cardiac ... rhythm monitoring, Echocardiogram ... - No other workup ... Hypercoagulable #Workup ... #hematology #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... abnormalities (hypo- or hypertension ... the patient is hypotensive ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Hemolytic Anemia - Differential Diagnosis Algorithm
 β€’ Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... aHUS, mechanical cardiac ... vasculitis, malignant hypertension ... Diagnosis #Algorithm #workup ... #hematology #testing
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... β€’ Unexpected cardiac ... surgery. ❷ Call for cardiac ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... #Differential # ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Severe sepsis (hypotension ... Consider monitoring cardiac ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... unexplained loss of cardiac ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential ... Post-Hepatic: β€’ Cardiac ... #Differential # ... Diagnosis #causes #hepatology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... alternatively a reflex to hypotension ... complex AND not hypotensive ... hypovolaemia; primary cardiac ... Diagnosis #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
problem. ❸ Call for cardiac ... therapies to treat hypotension ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup