Fig. 82.1 Admission Chest Radiograph Fig. 82.2 Hospital day 2 Chest Radiograph Question What intervention would you consider next? Answer Extracorporeal membrane oxygenation (ECMO) evaluation This patient has severe ARDS…
Fig. 70.1 Purpura (bruises) and petechiae (red and purple dots) on the skin. Bleeding under the skin causes the purple, brown, and red color of the purpura and petechiae (Source:…
Fig. 16.1 12 Lead ECG with atrial fibrillation Question What is this rhythm? Answer Atrial fibrillation This ECG demonstrates an irregularly irregular rhythm without discernable p-waves, consistent with atrial fibrillation…
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…
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…
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…
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…
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…
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…
