Critical Care: 7.23.2013
Board Review on Critical Care: Slides.
Pulmonary Emergencies – 7.10.13
Please find Dr. Farber’s slides on Pulmonary Emergencies here.
2 Cases of Pleural Effusion
Today we discussed 2 interesting cases of pleural effusions. 1) 56 yo Haitian man presented with DOE, LE edema and large right-sided pleural effusion. Thoracentesis showed a transudative effusion. His final diagnosis was systolic heart failure. Don’t forget, heart failure is known to lead to unilateral effusions on the right. No one knows why, it […]
28 year old female with Quorn Allergy
28 year old female presents with complaint of shortness of breath and rash. She reports that one hour prior to presentation she developed a rash on her inner thighs, so she took benadryl with no relief of symptoms. About 30 mins later she developed shortness of breath and wheezing. She reports that one hour prior […]
Unilateral recurrent pleural effusion
Today we discussed a 54 yo M p/w gradually worsening dyspnea on exertion, pleuritic chest pain and cough which is intermittently productive of greenish sputum. Denies fevers/ hemoptysis/ wt loss. Similar symptoms a month ago when he was admitted to a hospital in Cape Verde he was found to have right sided pleural effusion-> 1L of […]
Cryptogenic Organizing Pneumonia
50 yo M with pmhx of RA (on methotrexate and prednisone chronically) and decubitus ulcers presenting with 2 weeks of cough and malaise. He was also found to be hypotensive and hypoxic. Infiltrates were seen on CXR and treatment for HCAP was initiated (had many exposures to healthcare settings in past). After several days of […]
Acute Pulmonary Embolus
A 49 y.o. M with HTN, HL and prior history of treated PE presents with dyspnea on exertion and CT-PA showing acute pulmonary embolus. Oxygen saturation was in the 80s on room air, but patient was normal heart rate and normal blood pressure. What are the next steps in management? Remember that after the patient’s […]
RSV Pneumonia as a cause of dyspnea and hypoxia
A 43 y/o man w/ morbid obesity, OSA, diastolic heart failure and asthma presented with 3 days of worsening dyspnea on exertion, cough, subjective fevers and rhinorrhea. He had a low grade fever and hypoxia with normal lung sounds, significant LE edema and negative CXR. A JVP could not be appreciated due to body habitus. […]
Resources For Code Leadership
Given that the overall trend, in the hospital as well as nationwide, has been a decline in the number of Codes and an increase in the number of Rapid Responses, Residents have expressed significant concerns of feeling unprepared in leading codes. In response to this, we have sensed the need to implement a Code Leadership Training Series which includes the following […]
That’s Rancid
This is a case of a 45 y/o incarcerated, actively smoking gentleman with severe GERD, seizure disorder due to EtOH withdrawal who presented with cough productive of gray, foul smelling (not only to patient but innocent bystanders as well) sputum for 2 weeks. CXR on admission revealed a right upper lobe cavitary lesion which was confirmed […]