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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11 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... Medication β€’ Anaphylaxis ... Obstructive: β€’ Cardiac ... #causes
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... β€’ Unexpected cardiac ... Anesthesiology # ... Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia β†’ 3-12 o Anaphylaxis ... β†’ 3-1 o Cardiac ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... low CO later), Anaphylaxis ... , Medications (anesthesia ... #diagnosis #differential
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... β€’ Call for cardiac ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
) or septic shock ... Consider monitoring cardiac ... #Sepsis #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Bronchospasm β†’ 3-4 o Anaphylaxis ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
hypovolaemia; primary cardiac ... amniotic (β†’ 3-5); anaphylaxis ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Manifestations of Anaphylaxis by Body System

Dermatologic/mucosal

 - Eyes: periorbital swelling/erythema, injected conjunctiva, tears

 - Oral mucosa:
Manifestations of Anaphylaxis ... : bradycardia, shock ... leads, cyanosis, cardiac ... Gastrointestinal - Nausea ... cessation of play #Diagnosis
β–Ί
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Bronchospasm β†’ 3-4 o Anaphylaxis ... o Aspiration, pulmonary ... Hypoxia #Cyanosis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... Management #Workup #anesthesia