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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Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Embolus - Guidelines ... unexplained loss of cardiac ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
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
Hemolytic Anemia - Differential Diagnosis Algorithm
 β€’ Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... aHUS, mechanical cardiac ... Hemolytic #Anemia #Differential ... Diagnosis #Algorithm #workup ... #hematology #testing
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... Anaphylaxis (β†’ 3-1) Embolism ... CardiacArrest #Checklist #Differential ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... hypovolaemia; primary cardiac ... ); circulatory embolus ... 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 ... #Hypotension #Differential ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity β€’ Cardiac ... mononeuritis multiplex WORKUP ... (UPC) ratio β€’ Cardiac ... o infection β€’ Echocardiogram ... Renal #Syndromes #differential
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Intraoperative Hypoxia ... o Circulatory embolism ... β†’ 3-5 o Cardiac ... ) β†’ 3-12 o Cardiac ... #Management #Workup
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Embolization on Echocardiogram ... cardioembolic work ... #Embolization #Cardiac ... Clinical #POCUS #echocardiogram ... Cardiology #A4c #Embolism
β–Ί
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
o Circulatory embolus ... Airway #Pressure #Differential ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup