Management of Acute Aortic Syndromes
Fig. 18.1 Initial chest x-ray with evidence of pulmonary edema and widened mediastinum Fig. 18.2 CTA chest showing the dissection flap (black arrow) at the level of the descending aorta…
Hyponatremia
Fig. 45.1 CT scan of cerebrum after hypertonic saline bolus therapy Fig. 45.2 MR imaging, T2-weighted, 14 days after correction of hyponatremia without signs of osmotic demyelination Principles of Management…
Acute Arterial Ischemia
Fig. 84.1 Axial CT with arterial phase imaging demonstrates an intact left superficial femoral artery (SFA) without evidence of filling abnormality Fig. 84.2 Axial CT demonstrates occlusion of the left…
Massive Hemoptysis
Fig. 26.1 Arrows demonstrate Right lower lobe consolidation (wide arrow) and Left Lower Lobe bronchiectasis (thin arrow) The patient was transferred to intensive care. Flexible bronchoscopy showed no active bleeding…
Ventricular Arrhythmias
Fig. 17.1 Monomorphic ventricular tachycardia Question What approach should be taken in management of multiple recurrences of ventricular arrhythmias over a short period of time, i.e. VT storm? Answer Antiarrhythmic…
Management of Strongyloides Hyperinfection Syndrome
Fig. 55.1 Dilated esophagus with air-fluid level on chest CT Blood and sputum cultures from ICU day 3 grew Enterobacter aerogenes, sensitive to aztreonam and piperacillin/tazobactam. A gastric emptying study…
Management of Sepsis and Septic Shock
Fig. 53.1 PA CXR Fig. 53.2 Lateral CXR Question What approach should guide this patient’s treatment of septic shock? Answer Six Hour Sepsis Bundle The management of patients with severe…
Variceal Hemorrhage
Agent Dose Mechanism of action Length of therapy Notes Octreotide 50 μg bolus IV; then 50 μg/h continuous infusion Somatostatin analogue 3–5 days May result in tachyphylaxis Most commonly used…
Management of Severe Malaria
Fig. 57.1 “Blackwater Fever” – Urine sample showing dark urine due to hemoglobinuria (right tube) Fig. 57.2 (a, b) Ecchymosis from thrombocytopenia Question What are the challenges in the diagnosis…
Acute Stroke Emergency Management
Fig. 35.1 Hyperdense LMCA sign Fig. 35.2 Acute LMCA cut-off Question What approach should guide the remainder of this patient’s acute stroke management? Answer Emergent endovascular thrombectomy All patients with…
