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All critical-care Cases

Bilateral extradural hematoma and subdural hematoma on CT

Alteration of mental status of a patient with mitral valve prothesis and recent major swings in her VKA. Performed a ...

23014

Squamous cell carcinoma

65 yo male with (reportedly) 3 months of neck swelling, throat pain and dysphasia. He has lost 35 lbs in ...

7214177

Rhabdomyosarcoma on MRI of calf

Final update. Please see two previous Text cases to get an idea what's going on here. General surgery did tru-cut ...

31411

Anterior Subluxation of C7-T1 on x-ray

Male in early 30's presented to trauma s/p motorcycle accident resulting in quadriplegia.

94472

Choosing Wisely Canada

Resident Doctors of Canada (RDoC) has joined Choosing Wisely Canada, a national clinician led campaign to reduce unnecessary care. The ...

61416

Ethical dilemmas

Everyday while at the workplace we come across ethical dilemmas. This topic came up in one of my nursing classes ...

1689645

Breast cancer with mets

50yo F Dx with Breast Ca per needle bx. PETCT to complete staging. Patient opt'ed for lumpectomy only. No Chemo/hormone/ ...

638973

Laceration on forearm

To the bone #Laceration with second degree burns from car crash received 13 sutures to the left forearm

132838

TPN contamination in blood vial

Lets play GUESS THAT CONTAMINANT! Both renal panels drawn through a PICC line. Lab called me with a suspected contaminant. ...

264220

Inferior MI on 12 lead ECG

53 yo M. called EMS because of chest pain and SHOB. Secondary symptoms included pale, cool and clammy skin, nausea, ...

182911

Heroin overdose

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

25911249

Tick bite

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

183419

Munchausen syndrome by proxy

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

12632897

Pulmonary Tuberculosis

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

32341

Shiitake dermatitis

50 yoM presents w/ mildly pruritic rash. No environmental changes. Was at an Asian food festival a few days ago. ...

227368552

Trauma bay

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

29110278

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

123422

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!

17523792

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

283180

Cyanokit

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

105156295

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 ...

71917

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 ...

2967115

Shock cheat sheet

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

1552133

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 ...

36140

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 ...

234125

CT brain showing hypertensive bleed associated with sympathamomimetic use or arteriovenous malformation

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

186437
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