Month April 2020
Sketchbook MD LITFL 340

SARS-CoV-2 phenotypes

Some experts divide patients in two separate phenotypes: The “L” phenotype characterized by a hypoxemic failure and “low elastance” lungs (high compliance) and the “H” phenotype with “high elastance and recoil” lungs (lower compliance).

TOP-150-CXR-QUIZ-340 256

CXR Case 157

A 79 year old female with a history of atrial fibrillation and hypertension presents with increasing dyspnea. Interpret the evolving CXR's

eponymictionary-340-256 2

Whipple disease

Rare multi-system disorder secondary to chronic bacterial infection. Affecting the gastrointestinal tract most frequently. Chronic infection of the intestinal mucosa with the bacterium Tropheryma whipplei, leads to a lymphostasis; abdominal pain; malabsorption syndrome with diarrhea; and weight loss.

Gibson murmur 680

Gibson murmur

Gibson murmur (machinery murmur) associated with patent ductus arteriosus. Eponymously affiliated with George Alexander Gibson (1906)

Cole-Cecil murmur 1908 340

Cole-Cecil murmur

Early diastolic murmur of aortic insufficiency radiating with axillary radiation. (1908) Cole and Cecil examined 17 patients with provisonal diagnosis of aortic insufficiency and mapped the site of maximal intensity and axillary radiation of the early diastolic murmur.Early diastolic murmur of aortic insufficiency radiating with axillary radiation.

Rufus Ivory Cole (1872 – 1966) 340

Rufus Cole

Rufus Ivory Cole (1872 - 1966) was an American physician, and the first director of the Rockefellar Institute for Medical Research. Cole-Cecil Murmur

SARS-CoV-2 the novel coronavirus of COVID-19 340

Apnoeic CPAP for oxygenation

Dr Stacey Turner demonstrates the pros and cons of different strategies for apnoeic CPAP for pre-oxygenation of COVID-19 patients prior to intubation (video).

TOP-150-CXR-QUIZ-340 256

CXR Case 156

An 18 year old female presents with right sided pleuritic chest pain. describe and interpret her CXR