Spontaneous Bacterial Peritonitis
Spontaneous Bacterial Peritonitis: often occurs in patients with severe hepatic dysfunction -> should lead to transplantation consideration if appropriate
Category Medical Specialty
Portal Hypertension
Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral vascular beds; the most common complication of cirrhotic liver disease
Hypokalaemic Periodic Paralysis
Hypokalaemic Periodic Paralysis; rare channelopathy; muscle weakness/paralysis with a matching fall in K+ levels; starts in adolescence; weakness may be mild -> full body paralysis
Leptospirosis
Leptospirosis is an infection caused by the spirochaete genus of Leptospira. Severe forms may result in critical illness, including Weil disease and severe pulmonary haemorrhage
Spinal Injury Patient Hot Case
GENERAL APPROACH INTRODUCTION CUBICLE INFUSIONS VENTILATOR MONITOR EQUIPMENT QUESTION SPECIFIC EXAMINATION -> scars, surgical wounds, drains-> motor level: myotomes, spinal reflexes, limbs and abdominal muscles, return of bulbocaveronsus reflex (resolution of spinal shock)-> sensory level: dermatomes, sensory tracts (dorsal columns,…
Obstetric Patient Hot Case
GENERAL APPROACH Illness requiring ICU admission Pregnancy + Baby Delivery – when or already done INTRODUCTION CUBICLE CTG presence of midwives INFUSIONS PET: MgSO4, phenytoin, hydralazine, GTN pre-term labour: tocolytics, steroids thromboembolism: heparin bleeding: blood products, fluid boluses, TXA cardiogenic…
Hepatic veno-occlusive disease
Hepatic veno-occlusive disease aka sinusoidal obstruction syndrome (SOS) important complication of stem cell transplantation (SCT) mortality >30%
Haemophagocytic lymphohistiocytosis
Haemophagocytic lymphohistiocytosis (HLH) may be inherited (AR; 5 subtypes, aka familial HLH) or acquired; may mimic severe sepsis, consider in apparent sepsis without source
Cryoprecipitate
Cryoprecipitate is prepared by thawing fresh frozen plasma (FFP) between 1°C and 6°C and recovering the precipitate
The cold-insoluble precipitate is refrozen.
Massive Transfusion Protocol
Reviewed and revised 10 March 2014 OVERVIEW Massive transfusion is defined as A Massive Transfusion Protocol should be used in critically bleeding patients anticipated to require massive transfusion GOALS IN MANAGEMENT OF MASSIVE TRANSFUSION THERAPY INDICATIONS IN MASSIVE TRANSFUSION MASSIVE TRANSFUSION…
Acute Cholangitis
Acute or ascending cholangitis is a potentially life-threatening systemic infection resulting from inflammation and infection of the biliary tree due to bacterial growth in the bile, usually in the context of biliary obstruction
Antibacterial Resistance
Antibacterial Resistance: Natural Resistance – they do not possess the molecular target of the drug or are impermeable to it; Acquired resistance – occurs through mutation or the acquisition of new genetic material carried by mobile elements