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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anesthesia anesthesiology workup cardiac differential hyperthermia algorithm anaesthetic anaphylaxis arteritis barre block central crisis cva dizziness dizzy embolism embolus endocarditis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... decreased ETCO2 Symptoms ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... is conscious, symptoms ... #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
examination and vital signs ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
"pass out" • Symptoms ... spinning" • Symptoms ... Associated with nausea ... #differential #diagnosis ... #neurology #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Consider other causes ... that may mimic signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... Blood cultures/serology ... Blood cultures/serology ... #Endocarditis #comparison
Indications for tPA in Stroke: • Clinical diagnosis of ischemic stroke • Measurable neurologic deficit •
: • Clinical diagnosis ... deficit • Onset of symptoms ... present, in which case ... #Stroke #cva #management ... #neurology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... in Anaesthesia Signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
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