Rapid descent
A 30 year old male presents with a 3 day history of fevers and increasing breathlessness. On presentation he is noted to be severely hypoxic with sats of 80% on room air. The following chest X-ray is obtained:
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.
How to prevent diarrhea when hiking
Drinking surface water while hiking through the wilderness exposes you to gastrointestinal infections. A significant amount of education about this has been directed at decontamination of the water.
TEE Essentials: Assessment of the left atrium and appendage
TEE Left atrium - mid-esophageal LAA view assess left atrial appendage, quantify emptying velocities, thrombus/spontaneous contrast.
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
Bosworth fracture
Bosworth fracture-dislocation of the ankle. Rare injury with proximal fibular fragment trapped behind the tibia, frequently irreducible by closed methods.