Disseminated Intravascular Coagulation

Jul 20, 2017 by in Uncategorized Comments Off on Disseminated Intravascular Coagulation

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,…

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Diffuse Alveolar Hemorrhage

Jul 20, 2017 by in Uncategorized Comments Off on Diffuse Alveolar Hemorrhage

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…

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Management of Intracerebral Hemorrhage

Jul 20, 2017 by in Uncategorized Comments Off on Management of Intracerebral Hemorrhage

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…

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Prolonged Mechanical Ventilation

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

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,…

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Bacterial Meningitis in the ICU

Jul 20, 2017 by in Uncategorized Comments Off on Bacterial Meningitis in the ICU

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…

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Peripartum Cardiomyopathy

Jul 20, 2017 by in Uncategorized Comments Off on Peripartum Cardiomyopathy

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…

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Leptospirosis

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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…

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Invasive Aspergillus

Jul 20, 2017 by in Uncategorized Comments Off on Invasive Aspergillus

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…

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