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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... until patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre team of
Guidelines for Crises ... bronchospasm with no air movement ... Consider alternate diagnoses ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
females Differential Diagnosis ... abnormal extraocular movements ... dissociation β€’ Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
Erb's Palsy is caused ... regimental badge" anesthesia ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Symptoms worse with movement ... Associated with nausea ... #differential #diagnosis ... #neurology #management
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 β€’ Knee - L2, L3, L4
 β€’ Ankle - S1
saddle (perineal) anesthesia ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
β€’ Inadequate movement ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup ... #anesthesia