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…
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…
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…
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…
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…
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…
