Disease phenotype Clinical features Objective laboratory and prognostic markers Asymptomatic hepatic steatosis Incidence: 2–5 % of US population Symptoms: occasional hepatomegaly/RUQ pain, good muscle tone, appear medically well Risk factors:…
Fluid replacement therapy is usually initiated with isotonic saline. The initial infusion rate should be 15–20 ml/kg/h for the first 3–4 h (approximately 1.0 to 1.5 l/h for average sized…
Stage Serum creatinine Urine output 1 1.5–1.9 times baseline OR ≥0.3 mg/dl (>26.5 μmol/l) increase <0.5 ml/kg/h for 6–12 h 2 2.0–2.9 times baseline <0.5 ml/kg/h for ≥12 h 3…
Fig. 72.1 Peripheral Smear of DIC Question What is the diagnosis? Answer Disseminated Intravascular Coagulation (DIC) Disseminated Intravascular Coagulation (DIC) is a microangiopathic hemolytic anemia (MAHA) characterized by endothelial dysfunction,…
Fig. 34.1 Chest X-ray at initial presentation showing multifocal bilateral alveolar opacities Fig. 34.2 (a, b) Chest CT images performed after hemodialysis showing diffuse bilateral alveolar opacities Fig. 34.3 Sequential…
Fig. 37.1 Axial CT brain demonstrating right putaminal hemorrhage (From Brott et al. [1]. Reprinted with permission from Wolters Kluwer Health, Inc.) Question Would early surgical intervention be appropriate in…
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…
