Characteristic DKA HHS Polyuria, polydipsia, polyphagia, wt loss, vomiting, dehydration, weakness X X Stupor/coma Severe only X Abdominal pain X Insulin deficiency Absolute Relative Principal pathologic metabolic process Lipolysis and…
Fig. 81.1 CT Scan abdomen, Grade 2 liver laceration with active contrast extravasation Fig. 81.2 Extremity radiograph with distal communited femur fracture Postoperatively, she continued to have episodes of hypotension…
Fig. 13.1 12-lead ECG The initial physical exam was notable for an anxious and diaphoretic patient with elevated jugular venous pressure, crackles at the lung bases, and a left ventricular…
Fig. 80.1 CT scan images of small bowel obstruction. (a) Representative axial section of CT scan of the abdomen and pelvis with PO and IV contrast showing dilated, fluid filled…
Fig. 68.1 CT scan image of liver cirrhosis (Courtesy of Dr. Eric Yasumoto) Question What is the most likely diagnosis? Answer Spontaneous bacterial peritonitis leading to septic shock. All patients…
Fig. 77.1 Chest x-ray of a 45 year old male a victim of blunt trauma demonstrating left sided tension pneumothorax with rib fractures Question What is the diagnosis and what…
Fig. 78.1 Arrows mark site of active extravasation following splenic trauma Fig. 78.2 Splenic bleeding site confirmed by angiography Fig. 78.3 FAST – Location of probe placement for the trauma…
Fig. 31.1 (a) Chest x-ray of index patient on admission day 3. (b) Telemetry monitor showing the patient’s vital signs on admission day 3. (c) Mechanical ventilator parameters of the…
Fig. 12.1 EKG demonstrating inferior and posterior ST-segment elevations in a patient with STEMI Question What approach should guide this patient’s further management? Answer All patients with acute coronary syndrome…
Fig. 83.1 A 35 year old male presents with partial and full thickness burns as depicted as a result of severe trauma and thermal injury. There is significant soft tissue…
