Fig. 63.1 Axial contrast-enhanced CT showing a mildly enlarged pancreas (A), with normal contrast enhancement and peripancreatic fat stranding and fluid (B), consistent with acute interstitial edematous pancreatitis These recommendations…
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…
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)…
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…
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…
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…
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…
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…
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…
© 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…
