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All critical-care Cases

Arteriovenous malformation in angiogram

24 year old male with history of high flow arteriovenous malformation #avm within the anterior low abdominal wall with extension ...

81216

Medical resources

medicine is a-changing! I enjoy on line learning, having info at my fingertips and interacting with colleagues of every age ...

282210

Medication management in pediatric palliative care

A Day in the life of a Pediatric Palliative Care kid...tons of medications for several overlapping issues..Seizures, pain, respiratory compromise..It ...

143824

Acute on chronic subdural hematoma on CT

88 year old female with history of hypertension and NPH status post VP shunt presents to the ED unresponsive with ...

33010

ECG features of hyperkalaemia

Dialysis pt admitted to ICU with a potassium of 8.8. Developed this rhythm prior to dialysis treatment. What medications can ...

524528

Sleeve gastrectomy

39 yo female with a 39 BMI.(1st case) 64 yo male with a 43 BMI.(2nd case).Differences in #sleevegastrectomy items with ...

83744

Right sided tension pneumothorax on x-ray

A 28yrs old male presented with severe difficulty in breathing,Intermittent fever for one weeks.N/h/o any other medical illness or any ...

465237

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 ...

7414477

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 ...

1739945

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/ ...

639073

Laceration on forearm

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

132839

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 ...

12732196

Pulmonary Tuberculosis

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

32342

Shiitake dermatitis

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

228379571

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 ...

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