CCC Critical Care compendium 340
Shunts and Echocardiography

OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…

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Brain Dead?

A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.

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A Fumbling, Mumbling Mess!

A 41-year old man is brought to ED after becoming drowsy while in police custody. He states that he has taken an overdose of diazepam tablets prior to being arrested. A puzzling case of drug-induced delirium. Can you solve the mystery?