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All critical-care Cases

Empyema suspected due to leukocytosis on chest x-ray

elderly lady with increasing shortness of breath over the last week. WBC 24k

29497

Pulmonary tuberculosis on chest x-ray

male aged 60 years with prolonged cough and fever. Unfortunately he didn't survive.

112411

Acute myocardial injury on EKG

EMS reaponds to a private residence for an approx 85-year-old male complains of CP. Pain started last night at 19:00, ...

182110

Meningitis Cerebrospinal fluid

This is cloudy #csf in an elderly lady who came in with #sepsis and multilobar #pneumonia. She was growing #strep ...

293426

T12 burst with paraplegia

Chronic pain pt involved in moderate speed MVC. Restrained driver. C/o inability to feel legs or move them. T12 burst ...

43149

Klebsiella pneumonia on CT

50's alcoholic male and #Critically-ill-patient with #klebsiella PNA. Respiratory failure and septic shock at time of CT in image 1. ...

103714

S1Q3T3 and tachycardia of pumlmoary embolism on ECG

45 yo obese male, had 2 weeks of seated computer training for work now in ER with shortness of breath. ...

315034

3D print of severe facial trauma

severe facial trauma due to a deployed recalled automobile airbag. The maxilla was basically completely destroyed. #3DPrinting

42338

Strategies for lip biting in patients with a brain injury

3 solutions to the lip-biting problem in this young patient with bad brain injury. Image #1 is a scissor clamp, ...

574843

Blue Rubber Bleb Nevus Syndrome

21 yr old male lorry driver admitted via emergency to ICU with PR bleeding and haematuria. He had developed progressing ...

108134

Pneumothorax on x-ray

2/2. Update on precious case of #Pneumothorax . Obviously this is s/p chest tube placement in the ER, then the ...

0179

Diabetic ketoacidosis lab values

Female in her 40s w/ poorly controlled diabetes mellitus. Non compliant. Weakness x 1 week w/ nausea and vomiting. Serum ...

11156

Inferior ST elevation MI on ECG

53 year old male with chest pain that woke him from sleep. Patient went to PCP day prior and got ...

172111

Heparin-induced thrombocytopenia

Female 71 years old with mediastinal neoplasm infiltrating the superior vena cava and right atrium (histology: thymoma type A). Clinical ...

67200194

Fracture of the anterior and posterior column of the acetabulum 3D reconstruction

both column acetabular #

92537

Diaphragmatic tear pre and post repair on chest x-ray

65yr female admitted into ICU post multitrauma mainly chest . She had weaning failures and failed extubations. She was found ...

12217

Right ventricular strain pattern on ECG with pulmonary embolism

Severe right ventricular strain with new atrial fibrillation (+ clear chest X-ray and hypoxemia) = massive pulmonary embolism. Echo showed ...

1162

Doctors Without Borders in Afghanistan

@DrsWithoutBorder medical staff provide emergency treatment to patients and wounded colleagues in an improvised area of MSF's trauma centre in ...

2472133

Tension pneumothorax bilaterally on chest x-ray

Bilateral Spontaneous #Tension-pneumothorax #Pneumothorax - patient walked in to the ED! Sorry about the poor quality image.

214764

Post-conversion ECG

Update to 30s Female 30 weeks pregnant. Patient responsive to IV fluid bolus. Initiated procainamide 1gram IV infusion @25mg/min. Patient ...

3178

Equipment graveyards

#GMHStories Equipment graveyards are a common site for northern Ghana hospitals. When equipment breaks down, there is no proper way ...

163352

Microprocessor hydraulic knee prosthesis

18 year old male with L AKA above knee amputation after a traumatic work accident at a farm being run ...

4053133

Staphylococcal scalded skin syndrome

posting this for a colleague. started with high fever over 104 it wasn't resolving with Tylenol and Motrin the next ...

7310652

Left temporal epidural hematoma on CT

Head trauma & sequela: 52yoM bike accident presented in coma with dilated left pupil, intubated. CT shows left temporal epidural ...

253558

Fluconazole

Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...

8549

Meningioma 5cm posterior fossa compressing brain stem

52 yo F presented after PCP tested and MRI. Patient has had HA for years but that last 3 mo ...

2618

Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...

5345738

Ventricular tachycardia on ECG

~70s M c/o Chx pain x45 mins around 0300. Arrived to find pt in V tach with pulses, BP over ...

3520134

metastatic ovarian cancer with peritoneal carcinomatosis, malignant ascites.

This week’s case is a 40 year old Haitian woman presents with loss of appetite and weight loss. Physical exam ...

1867

Diffuse subendocardial ischemia on ECG

it's been a while figure1! Posting from a colleague of mine, 68 yoF 4 hour hx of central chest pain ...

22187
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