Collapse and recruit
A 19 year old male is admitted after a severe traumatic brain injury. Due to refractory intracranial hypertension he is intubated and receiving 20mg an hour of morphine, 20mg an hour of midazolam and 200mg an hour of propofol.
Category Respiratory
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.
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.
Adolph Kussmaul
Adolph Kussmaul (Adolf Kußmaul) (1822 – 1902) was a German physician. Eponym Kussmaul breathing in Diabetic ketoacidosis (1874)
Camille Biot
Camille Biot (1850 – 1918) was a French physician. Most famous for describing Biot breathing. Biography Born 19 December 1850 Chatenoy-le-Royal, France Intern at Hôtel Dieu Hospital in Lyon, France Practiced in Maçon in 1875 Became member of L’Académie de…
Cure for obstructive sleep apnoea?
Swiss start prescribing the playing of the didgeridoo as a treatment of obstructive sleep apnoea.
Interpreting Chest X-Rays with Dr Eric Strong
Dr Eric Strong is Clinical Assistant Professor at the Stanford University School of Medicine and has created a YouTube Education Channel with a variety of well thought out, well paced, information rich, free lectures which deal with some of the…