Management of Acute Upper Gastrointestinal Hemorrhage
Clinical factor Pretest probability of an UGIB Likelihood ratio Posttest probability of an UGIB Melena on exam 63 % 25 98 % BUN/sCr >30 63 % 7.5 93 % Prior…
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Adrenal Insufficiency
Albumin >2.5 g/dl Albumin <2.5 g/dl Total cortisol (μg/dl [nmol/l]) Baseline 15 (410) 10 (275) Stimulated 20 (550) 15 (410) Free cortisol (μg/dl [nmol/l]) Baseline 1.8 (50) 1.8 (50)…
Immunocompromised Pneumonia
Fig. 24.1 Chest X-ray Fig. 24.2 High-resolution CT scan Question Should the patient’s antimicrobial regimen be changed? What diagnostic test should be performed? Answer The patient’s antimicrobial regimen should be…
Traumatic Brain Injury
Criteria Mild Moderate Severe Neuroimaging Normal Normal or abnormal Abnormal Initial GCS 13–15 9–12 <9 Loss of consciousness Absent or upto 30 min 30 min to 24 h More than…
Management of Severe Skin Eruptions
Fig. 91.1 (a, b) Large loose flaccid bullae which quickly desquamate leaving behind moist erosions. Nikolsky sign was positive with gentle pressure on non-bullous skin causing sloughing. Asboe-Hansen sign was…
Respiratory Diseases of Pregnancy
Fig. 89.1 Patient’s chest x-ray Question What is her diagnosis? Answer ARDS associated with Influenza pneumonia. Question What will you do next? Answer Intubate the patient with precautions for possible…
Diagnosis and Management of Ethylene Glycol Ingestion
Methanol Uremia Diabetic Ketoacidosis Propylene Glycol Paraldehyde Propofol Infection Iron Isoniazid Inborn Errors of Metabolism Lactic Acidosis Ethylene Glycol Salicylates Starvation ketoacidosis Question How would you proceed in the management…
Management of Necrotizing Soft Tissue Infection
Fig. 85.1 Necrotic muscle visible in superficial and deep volar compartments to distal forearm (rightmost aspect of photo). Transition of viability is noted just below the elbow joint The general…
Tumor Lysis Syndrome
© Springer International Publishing Switzerland 2017Robert C. Hyzy (ed.)Evidence-Based Critical Care10.1007/978-3-319-43341-7_75 75. Tumor Lysis Syndrome Himaja Koneru1 and Paul D. Bozyk2 (1) Internal Medicine, Beaumont Health, Royal Oak, MI, USA (2) Medical Intensive Care Unit, Department of…
Venous Thromboembolism in the Intensive Care Unit
Fig. 25.1 Large central thrombi in the main bilateral pulmonary arteries (arrows) in a 72-year-old man who presented with submassive pulmonary embolism Question If the decision is made to administer…
