Category Medical Specialty
Pulmonary Puzzler 340

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.

Pulmonary Puzzler 340

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:

Pulmonary Puzzler 340

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 Puzzler 340

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.

Pulmonary Puzzler 340

Not just a PE

A classic respiratory case. This 25 year old female presented with worsening breathless. She has no previous medical problems.

Pulmonary Puzzler 340

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.

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Pott fracture

Archaic eponym: Effectively a fracture-dislocation of the ankle, involving a fracture of the fibula, disruption of the deltoid ligaments with an intact tibiofibular ligament

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Bosworth fracture

Bosworth fracture-dislocation of the ankle. Rare injury with proximal fibular fragment trapped behind the tibia, frequently irreducible by closed methods.

David Marsh Bosworth (1897–1979) 340

David Marsh Bosworth

David Marsh Bosworth (1897–1979) was an American Orthopedic Surgeon. Associated with the Bosworth fracture and streptomycin for bone and joint tuberculosis

Henry Milch (1895 – 1964) 340

Henry Milch

Henry Milch (1895 - 1964) was an American Orthopedic Surgeon. Eponymous with the Milch method of shoulder reduction