Fig. 80.1 CT scan images of small bowel obstruction. (a) Representative axial section of CT scan of the abdomen and pelvis with PO and IV contrast showing dilated, fluid filled…

Fig. 68.1 CT scan image of liver cirrhosis (Courtesy of Dr. Eric Yasumoto) Question What is the most likely diagnosis? Answer Spontaneous bacterial peritonitis leading to septic shock. All patients…

Fig. 78.1 Arrows mark site of active extravasation following splenic trauma Fig. 78.2 Splenic bleeding site confirmed by angiography Fig. 78.3 FAST – Location of probe placement for the trauma…

Fig. 77.1 Chest x-ray of a 45 year old male a victim of blunt trauma demonstrating left sided tension pneumothorax with rib fractures Question What is the diagnosis and what…

Fig. 31.1 (a) Chest x-ray of index patient on admission day 3. (b) Telemetry monitor showing the patient’s vital signs on admission day 3. (c) Mechanical ventilator parameters of the…

Fig. 12.1 EKG demonstrating inferior and posterior ST-segment elevations in a patient with STEMI Question What approach should guide this patient’s further management? Answer All patients with acute coronary syndrome…

Fig. 83.1 A 35 year old male presents with partial and full thickness burns as depicted as a result of severe trauma and thermal injury. There is significant soft tissue…

Fig. 66.1 Plain abdominal film Fig. 66.2 Coronal view CT abdomen Fig. 66.3 Axial view CT abdomen Principles of Management Symptoms of C. Difficile Infection Patients may present with a…

Alcohol withdrawal: Delirium: A. Discontinuation of prolonged heavy alcohol intake B. At least two of the following symptoms:  Autonomic hyperactivity  Hand tremors  Insomnia  Nausea or vomit  Transient hallucinations or illusions…

Fig. 76.1 Fundoscopic photograph showing intraretinal hemorrhage (blue arrow), tortuous blood vessel (black arrow), cotton wool spots (yellow arrow), and Roth spots (green arrow) (From Shirley and McNicholl [1]. Reprinted…