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. 73.1 Chest radiograph on admission (a) demonstrated bilateral infiltrates, which corresponded to bilateral ground glass opacities and interstitial thickening on a CT performed the same day (b). After 1…
Fig. 65.1 Mesenteric angiography with coil embolization. Angiography of the colic branches with positive blush sign (Panel A and B) and following coil embolization (Panel C) Principles of Management Definitions…
Fig. 63.1 Axial contrast-enhanced CT showing a mildly enlarged pancreas (A), with normal contrast enhancement and peripancreatic fat stranding and fluid (B), consistent with acute interstitial edematous pancreatitis These recommendations…
Clinical factor Pretest probability of an UGIB Likelihood ratio Posttest probability of an UGIB Melena on exam 63 % 25 98 % BUN/sCr >30 63 % 7.5 93 % Prior…
Albumin >2.5 g/dl Albumin <2.5 g/dl Total cortisol (μg/dl [nmol/l]) Baseline 15 (410) 10 (275) Stimulated 20 (550) 15 (410) Free cortisol (μg/dl [nmol/l]) Baseline 1.8 (50) 1.8 (50)…
Fig. 24.1 Chest X-ray Fig. 24.2 High-resolution CT scan Question Should the patient’s antimicrobial regimen be changed? What diagnostic test should be performed? Answer The patient’s antimicrobial regimen should be…
Criteria Mild Moderate Severe Neuroimaging Normal Normal or abnormal Abnormal Initial GCS 13–15 9–12 <9 Loss of consciousness Absent or upto 30 min 30 min to 24 h More than…
