Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.
A 32 year-old woman is referred to the ICU post caesarean section. In the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.
A 27 year old female with metastatic ovarian cancer for whom treatment options have been exhausted arrives in the ED in extremis.
21 year-old presenting to the emergency department with fevers and agitation. His lumbar puncture confirms Gram Negative Diplococci
What is the explanation for the discrepancy between the oxygen saturations on pulse oximetry and on arterial blood gas analysis in this patient?
Paul Young’s SMACC talk on ‘Fever, friend or Foe?’ got some of the most positive feedback ever seen on a speaker’s report card. This is his post on the subject of fever in the critically ill, along with the audio and the slides from SMACC.
Fulminant hepatic failure is defined as the appearance of hepatic encephalopathy in a patient with acute deterioration of liver function with no previous history of liver disease.
A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?