Month January 2019
CCC Critical Care compendium 340

Pneumonia in Heart-Lung Transplant

pulmonary infections = most frequent complication with high mortality; requires aggressive, early, broad spectrum antimicrobial therapy; close consultation and even transport to transplant unit may be indicated

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Monro-Kellie doctrine

The Monro-Kellie doctrine or hypothesis states that the sum of volumes of brain, cerebrospinal fluid (CSF) and intracerebral blood is constant. An increase in one should cause a reciprocal decrease in either one or both of the remaining two.

CCC Critical Care Compendium 680

Ataxia DDx

Ataxia is impaired coordination in the absence of weakness. Acute ataxia is a neurological emergency, and vascular lesions of the cerebellum (infarction, hemorrhage) must be considered/ excluded.

CCC Critical Care compendium 340

Unresolved sepsis

When a 'septic' patient fails to improve despite initial therapy, it is important to 'stop and think' and systematically consider the multiple possible reasons why 'the antibiotic is not working'

CCC Critical Care compendium 340

Mitochondrial dysfunction

Mitochondria are the intracellular organelles that produce the bulk of the body’s energy currency (ATP). they are derived from endosymbiotic prokaryotes around the time of the origin of eukaryotic cells

CCC Critical Care Compendium 680

Large bowel obstruction
 DDx

In an adult, large bowel obstruction is cancer until proven otherwise. Key radiological features are dilated bowel loops that are peripheral, contain haustra and contain faeces.

CCC Critical Care Compendium 680

Scrotal mass

Differential diagnosis of the scrotal mass. See also scrotal pain and inguinal mass (in abdominal mass)

CCC Critical Care compendium 340

Pulmonary mechanics

Determining compliance and resistance within a respiratory system is important during the management of mechanical ventilation.