Chikungunya

Jul 20, 2017 by in Uncategorized Comments Off on Chikungunya

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…

read more

Management of Acute Liver Failure

Jul 20, 2017 by in Uncategorized Comments Off on Management of Acute Liver Failure

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…

read more

Dengue

Jul 20, 2017 by in Uncategorized Comments Off on Dengue

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…

read more

Hemophagocytic Lymphohistiocytosis

Jul 20, 2017 by in Uncategorized Comments Off on Hemophagocytic Lymphohistiocytosis

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…

read more

Acute Lower Gastrointestinal Bleeding

Jul 20, 2017 by in Uncategorized Comments Off on Acute Lower Gastrointestinal Bleeding

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…

read more

Acute Pancreatitis

Jul 20, 2017 by in Uncategorized Comments Off on Acute Pancreatitis

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…

read more

Adrenal Insufficiency

Jul 20, 2017 by in Uncategorized Comments Off on Adrenal Insufficiency

  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)…

read more

Immunocompromised Pneumonia

Jul 20, 2017 by in Uncategorized Comments Off on Immunocompromised Pneumonia

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…

read more
Get Clinical Tree app for offline access