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,
in Anaesthesia Causes ... over 2 h (>65 kg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Excessive insulation, high ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Tumor lysis syndrome ... #Differential #Diagnosis ... #High #Magnesium ... #Table #Causes ... #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... : High altitude ... embolus SHUNT ... hepatopulmonary syndrome ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Embolism, Tension ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... Cardioembolic: β€’ ECG ... β€’ TTE +/- TEE (high ... No major-risk embolic ... #diagnosis #checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
if it is due to high ... o Circulatory embolus ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
β€’ Exclude high ... Pneumothorax and/or high ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Have a high index ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... mononeuritis multiplex WORKUP ... recent DAN) β€’ EMG ... Goodpasture's cause ... #management #treatment