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All critical-care Cases

Heroin overdose

Heightened awareness of prescription opioid addiction has led some of those addicted to turn to heroin. Increasingly, emergency departments (EDs) ...

22610044

Tick bite

over 50 yo male with tic bite, works outside, didn't want to start doxy , started amox instead x 21 ...

183418

Munchausen syndrome by proxy

2yo M previously healthy with reported 3 weeks of diarrhea and emesis. Clinically stable. No emesis or diarrhea episodes since ...

12532595

Pulmonary Tuberculosis

Pulmonary #Tuberculosis with multiple cavities in a parient with HIV-AIDS

32342

Trauma bay

Trauma bay after blunt traumatic arrest with ED thoracotomy in young patient with severe multitrauma. Difficult intubation with blood filled ...

29109277

Bronchiectasis on CT

Chest: Bronchiectasis on CT Findings: There are dilated, non-tapering bronchi. Discussion: Bronchiectasis is defined as irreversible dilatation of bronchi.

6913

NG tube in the right bronchus

Chest radiograph case 1: What is the primary abnormality on this radiograph? #chest #X-ray #BSPR

113321

Rifampin causing orange urine

Want to guess this Patients rare diagnosis and the cause for this orange urine? I'll share the answer this evening!

17523589

Upper arm ultrasound

Scanning a pt's R upper arm with US for PICC consideration and found the largest arm vein I've ever seen. ...

41013

Intracerebral hemorrhage on CT

Although rarely heart-shaped, an intracerebral hemorrhage (ICH) can occur from a variety of causes including having a history of high ...

21633

Initial labs drawn for a potential organ donor

Initial labs drawn for a potential organ donor

283178

Cyanokit

50-something M patient to ED with ROSC after arrest secondary to house fire. Cyanokit is given to bind cyanide produced ...

105150288

Prone position

Behind the drapes...how patients are positioned - prone used for spinal and posterior fossa surgery. Lateral for various intracranial lesions. ...

694878

Atrial flutter in ECG

A patient admitted for pleural effusion. Noted frequent intermittent self-aborted #Tachyarrhythmias . It's looks like running of #Supraventricular-tachycardia from the ...

71816

Tracheo-innominate fistula

#Tracheo-innominate-fistula, a rare and often deadly complication of #Tracheostomy! Yellow arrow points to the tracheostomy stoma, black arrow points to ...

2866115

Shock cheat sheet

Since my last post was well received, I guess I'll do one more. #CheatSheet This one is a bread and ...

1552132

Congenital diaphragmatic hernia radiograph before surgery

An update on the Congenital Diaphragmatic Hernia case. Patient was for Ex-Lap and #Diaphragmatic-hernia repair. Anesthesia was yet to be ...

36039

Idiopathic pulmonary hypertension on hemodynamic monitor

that's not a mislabeled art-line. it's the patient's pulmonary arterial pressure! idiopathic pulmonary hypertension.

62422

Furuncle caused by Staphylococcus aureus

The #Furuncle is caused by Staphylococcus aureus. It is transmitted by contact with asymptomatic carriers, people with purulent lesion or ...

224024

Brain CT scan of hypertensive bleed associated with sympathamomimetic use

This is a 24-year-old male with past medical history of heroin addiction, who presents to an emergency department of a ...

186437

Acute pericarditis on ECG

22yo male with "crushing" central chest pain for 12hrs and sob on brief exertion. Recently put on clarithromycin for sinusitis ...

162116

Epiglottitis and thump sign on head x-ray

2yr AAF with c/f allergic reaction. Triage to fast track (low acuity). No relevant PMH or family hx. NKDA. UTD ...

134218

Chest x-ray of flash pulmonary oedema

55 yo female hx HTN, asthma. To ED via medic c/o acute onset dyspnea and BLE edema x1 week. Pt ...

31299

Bilateral swelling of the jaw in cherubism

14 year old male.Condition started since he was a toddler and progressively increasing. Differentials ? Students give it a try

141292665

Severe venous hematoma from a needle injury

Any guesses what happened here?

3015965

Pilar cyst on the scalp

This patient came in with this big mess on there scalp. An excision was done on it. What do you ...

195824

Subdural haemorrhage with midline shift on CT

84 year old female complaining of shoulder pain after her dog pulled the leash. Patient fell backwards, (24 hs prior ...

154825

Target lesions of erythema migrans in lyme disease

Child comes in after camping in the Desert wth these rashes. Went to ER and received antihistamines and prednisone the ...

339386195

Healthy fresh-looking lungs pre-transplantation

ever wonder what a fresh set of lungs looks like???

4184285

schatzker VI transverse tibial plateau fracture on lower limb x-ray

66 y/o active guy in an MVA with bilateral Schatzker VI tibial plateau fractures. What are your thoughts?

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