Anesthesia Key

Patient characteristics Points Total score 1-year mortality % (95 % CI) Non-trauma 1 0 4 (0, 9) Requiring vasopressors 1 1 28 (19, 37) Requiring hemodialysis 1 2 43 (35,…

Fig. 36.1 Gram positive lancet shaped diplococcic confirming Streptococcus pneumonia (Image courtesy of Dr. Valerie Ng at Alameda Health System) During transfer of the patient from the ED, the patient…

Fig. 87.1 Chest X-ray on admission showing cardiomegaly without significant pulmonary congestion Fig. 87.2 Trans-thoracic echocardiogram 4-chamber view showing enlargement of both left and right ventricles consistent with a dilated…

Fig 60.1 (a, b) Generalized jaundice Fig. 60.2 (a, b) Ecchymosis (left) and dark urine demonstrating hemoglobinuria Fig. 60.3 (a, b) Conjunctival suffusion Question What is the diagnosis? Answer Leptospirosis…

Fig. 21.1 Chest x-ray of patient with ARDS from case study showing bilateral alveolar infiltrates Fig. 21.2 Representative section of chest CT from patient in case study demonstrating bilateral alveolar…

Fig. 54.1 Multiple peribronchovascular opacities with spiculated consolidative peripheral opacity in left upper lobe Fig. 54.2 Patchy peribronchovascular opacities present in both lungs Fig. 54.3 Cavitary foci within the consolidative…

Fig. 59.1 Maculopapular rash (Courtesy of Dr. Jorge Hidalgo, from Karl Heusner Memorial Hospital Belize) Question What diagnostic approach should be undertaken? Answer The presence of fever and arthralgias is…

Fig. 64.1 Non-contrast head CT at initial presentation. There was no evidence of cerebral edema despite markedly impaired mental status Broad-spectrum antibiotics consisting of vancomycin and cefepime were started given…

Fig. 79.1 Perforated diverticulitis in the transverse colon Question How should this patient’s intraabdominal condition be managed? Answer This patient has an intraabdominal infection from a perforated transverse colon, as…

Fig. 58.1 Petechial rash (Courtesy of Dr. Jorge Hidalgo, from Karl Heusner Memorial Hospital Belize) Question What approach should guide this patient diagnosis? Answer The abrupt onset of fever with…