Severe pelvic trauma
Figure 12.1. (a) Young–Burgess lateral compression (LC) pelvic fracture classifications; (b) computed tomography (CT) of LCI fracture pattern; (c) radiograph of LCI fracture pattern. (Reprinted with permission from Hammel J….
Infective endocarditis
History Common causative organism Native valve Streptococcus viridans, Staphylococcus aureus Prosthetic valve Staphylococcus epidermidis IVDA Staphylococcus aureus Presentation Classic presentation Presentation is nonspecific and variable, but the most common symptoms…
Sickle cell emergencies
Common causes Possible causes Pulmonary infectionFat embolismRib infarction ThromboembolismIn situ thrombosisLung sequestrationIatrogenic (excessive hydration, excessive narcotic use) Splenic sequestration Splenic sequestration, or intrasplenic trapping of RBCs, is a major cause…
Tumor lysis syndrome
High risk Non-Hodgkin lymphoma Burkitt lymphoma Lymphoblastic lymphoma B-cell acute lymphoblastic leukemia (ALL) ALL with white blood cell count (WBC) >100 000/microliter Acute myelogenous leukemia (AML) with white blood cell…
Acute respiratory distress syndrome
Direct injuries to lungs Indirect injuries Pneumonia Sepsis Aspiration• Gastric contents• Near-drowning• Hydrocarbons/solvents Severe trauma• Multiple fractures• Head injury• Burns Smoke or toxic gas inhalation Pancreatitis Pulmonary contusion Multiple blood…
Small bowel obstruction
Type Etiology Mechanical A physical barrier exists that blocks normal intestinal flow Closed-loop Two sequential sites of obstruction block a portion of bowel, usually through a hernia or adhesive band…
Care of the dying patient
Ten-step guide Tips/examples Establish a proper setting Quiet, appropriate parties invited, pagers turned off. Introductions “Can you tell me something about your mom?” Assess patient/family understanding “What have the doctors…
Hypothermia
Figure 65.1. ECG of a patient with hypothermia and Osborn waves. Diagnosis and evaluation Confirm hypothermia with rectal thermometer, indwelling Foley with temperature sensor, or other means of core temperature…
Pheochromocytoma
Cardiovascular Hypertensive crisisAnginaMyocardial infarctionArrhythmiaMyocarditisCardiomyopathyHeart failureCardiogenic shockPeripheral ischemia Neurological Cerebrovascular accidentsEncephalopathyGeneralized seizures Pulmonary Pulmonary edemaAcute respiratory distress syndrome Renal Acute renal failure Abdominal Hemorrhage into the tumorParalytic ileusIntestinal ischemiaColon perforation Diagnosis…
