A Case of CO2 Narcosis
A 67 year old gentleman with a BMI of 45 was waiting for his respiratory outpatient clinic appointment. While waiting, he fell asleep. A medical emergency was called because he could not be woken up.
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Ballooning Up
A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.
Pulmonary panic
A 17 year old female with a background history of HIV presents with a 3 day history of fevers, chills and rigors. Her admission chest X-rays are shown below:
Pneumonia gone bad
Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgia and cough followed by worsening breathlessness over the past 4 days.
Roast duck and juniper beer
Consider a 73 year old female admitted with vomiting and subsequent chest pain. This is her admission chest X-ray.
Not just a PE
A classic respiratory case. This 25 year old female presented with worsening breathless. She has no previous medical problems.
Not just pneumonia
A 30 year-old male presented with 24 hours of worsening respiratory distress, following a 5-day prodrome of cough, fever, diarrhoea, lethargy and malaise.
Pulmonary Re-expansion
A 45 year old woman with metastatic ovarian cancer is admitted for VATS pleurodesis and drainage of bilateral pleural effusions.
Cannon Balls
A 26 year-old male, with no previous history of seizures, was BIBA with status epilepticus. He was intubated to facilitate seizure management
Troubling Lab Strife
aka Oncological Quandary 002 A 30 year-old woman presents with abdominal pain and paraesthesiae. She was diagnosed with CML 2 months previously, and was treated with chemotherapy a month prior to presentation. These are her lab results: Questions Q1. Describe…
From the Hip
Consider a 16 year old who presents with a 3 week history of severe hip pain followed by increasing breathlessness and left sided chest pain. His admission chest X-ray is shown below:
Own the Oxylog
If you're a doc or nurse in Australasia and you take care of critically ill patients chances are you should be familiar with the Oxylog 3000.