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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diagnosis anesthesia anesthesiology checklist clinical physicalexam intraoperative bppv instructions maneuver vertigo differential benign epley paroxysmal nephrology liberatory semont treatment abcds
Epley Maneuver for Treatment of BPPV 1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
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 Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Airway • Check position ... levelling patient position ... Consider potential causes ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway • Check position ... pressure as a cause ... o Endocrine cause ... Checklist #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... the patient is positioned ... extension. ❽ Operator position ... Checklist #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Differential #Causes ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... mainstay of initial management ... mainstay of initial management ... in left lateral position ... #Workup
Pisa Syndrome (pleurothotonus) on Physical Exam A tonic flexion of the trunk of the body to one
mobilization or supine position ... Caused commonly ... PhysicalExam #clinical #neurology ... #posture #video
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 Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... Airway • Check position ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Airway • Check position ... hypercarbia as causes ... syndrome) • Medical causes ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Airway • Check position ... Consider known drug causes ... Checklist #Diagnosis #Management ... #Workup #Cardiology
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