Thoracic Trauma

Jul 20, 2017 by in Uncategorized Comments Off on Thoracic Trauma

Fig. 77.1 Chest x-ray of a 45 year old male a victim of blunt trauma demonstrating left sided tension pneumothorax with rib fractures Question What is the diagnosis and what…

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Weaning from Mechanical Ventilation

Jul 20, 2017 by in Uncategorized Comments Off on Weaning from Mechanical Ventilation

Fig. 31.1 (a) Chest x-ray of index patient on admission day 3. (b) Telemetry monitor showing the patient’s vital signs on admission day 3. (c) Mechanical ventilator parameters of the…

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Management of Acute Coronary Syndrome

Jul 20, 2017 by in Uncategorized Comments Off on Management of Acute Coronary Syndrome

Fig. 12.1 EKG demonstrating inferior and posterior ST-segment elevations in a patient with STEMI Question What approach should guide this patient’s further management? Answer All patients with acute coronary syndrome…

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Management of Acute Thermal Injury

Jul 20, 2017 by in Uncategorized Comments Off on Management of Acute Thermal Injury

Fig. 83.1 A 35 year old male presents with partial and full thickness burns as depicted as a result of severe trauma and thermal injury. There is significant soft tissue…

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Management of Alcohol Withdrawal Syndromes

Jul 20, 2017 by in Uncategorized Comments Off on Management of Alcohol Withdrawal Syndromes

Alcohol withdrawal: Delirium: A. Discontinuation of prolonged heavy alcohol intake B. At least two of the following symptoms:  Autonomic hyperactivity  Hand tremors  Insomnia  Nausea or vomit  Transient hallucinations or illusions…

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Management of Hyperviscosity Syndromes

Jul 20, 2017 by in Uncategorized Comments Off on Management of Hyperviscosity Syndromes

Fig. 76.1 Fundoscopic photograph showing intraretinal hemorrhage (blue arrow), tortuous blood vessel (black arrow), cotton wool spots (yellow arrow), and Roth spots (green arrow) (From Shirley and McNicholl [1]. Reprinted…

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ICU Management of the Patient with Alcoholic Liver Disease

Jul 20, 2017 by in Uncategorized Comments Off on ICU Management of the Patient with Alcoholic Liver Disease

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:…

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Diabetic Ketoacidosis

Jul 20, 2017 by in Uncategorized Comments Off on Diabetic Ketoacidosis

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…

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