
CXR Case 151
A 54 year old male presents with chest pain radiating through to his upper back. LITFL Top 150 CXR

A 54 year old male presents with chest pain radiating through to his upper back. LITFL Top 150 CXR

Fritz Valdemar Rasmussen (1837-1877) was a Danish physician. Co-editor of the Hospitals-Tidende Journal, Rasmussen recorded cases of massive haemoptysis secondary to pulmonary artery aneurysm in association with tuberculosis - eponymously termed the Rasmussen aneurysm

CAUSES pre-existing liver disease (+/- exacerbation) drug induced (paracetamol, statins, amiodarone, antibiotics, NSAIDs, beta-blockers, ranitidine, volatiles) ischaemic (post clamping above hepatic artery, thrombosis, embolic, hypotension) surgical injury nutrition (TPN, EN) acalculous cholecystitis transfusion related hepatitis ASSESSMENT History pre-operative liver function…

Carotid Endarterectomy = removal of atheromatous plaque from the ICA. Artery clamped, open, plaque stripped and then closed directly or with a Gore-Tex vein patch.

GENERAL APPROACH Emergency or Elective End-organ damage Complications– brain injury– spinal cord ischaemia– ileus– MI– lower limb ischaemia– compartment syndromes– renal injury INTRODUCTION CUBICLE dialysis INFUSIONS vasoactives fluid boluses sedation analgesia transpyloric feeding: ileus, ischaemia TPN VENTILATOR mode level of…

Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall

Vascular Surgery Literature Summaries

Henri Marie René Leriche (1879–1955) French surgeon. Described as the father of vascular surgery. Leriche syndrome (1940), Leriche operation (1913)

A thin and tall young man presents with back pain. Describe and interpret these ultrasound scans