CT angiogram of the chestSepsis*White blood cell countBlood culturesSerum lactic acidSeizuresElectroencephalogramNeuroleptic malignant syndromeHistory of neuroleptic exposureSerum creatine kinaseResponse to dantroleneSerotonin syndromeHistory of use of proserotonin drugsSerum creatine kinaseResponse to cyproheptadineAlcohol…
FIGURE 7.1 CT perfusion revealing a large mismatch between the areas of reduced cerebral blood volume (A) and decreased cerebral blood flow (B). Our patient represents a common clinical scenario—major…
FIGURE 19.1 Note displaced femur fracture. (A) Serial chest X-rays in patient example: B) normal on admission and C) diffuse pulmonary edema 12 hours later. What do you do now?…
31 Approach to Organ Donation A 51-year-old man with poorly controlled hypertension and severe congestive heart failure was admitted with a devastating ganglionic hemorrhage. Soon after arrival he was intubated…
FIGURE 29.1 CT scan showing a massive right intraparenchymal hematoma with intraventricular extension, hydrocephalus (A), and brain tissue displacement causing complete effacement of the basilar cisterns (B). End-of-life care in…
Decreases effectPhenytoinTheophyllineCorticosteroids(dexamethasone)WarfarinCarbamazepinePhenytoinWarfarinBarbituratesPhenytoinCorticosteroidsTricyclicantidepressantsWarfarinIncreases effectValproic acidWarfarin
28 Decisions in Persistent Vegetative State A 17-year-old teenager remained comatose 2 weeks after a severe traumatic brain injury. During the first days following the accident, he was treated for…
FIGURE 26.1 A) Preoperative MRI scan showing a large suprasellar enhancing mass with associated obstructive hydrocephalus. B) Postoperative MRI scan showing complete resection of the previously observed suprasellar mass. (Both…
FIGURE 11.1 Algorithm for the management of status epilepticus. ABC, airway, breathing, circulation; CSF, cerebrospinal fluid; ED, emergency department; EEG, electroencephalography; ICU, intensive care unit; MV, mechanical ventilation. * The…
FIGURE 24.1 Hypersecretion and neuromuscular respiratory failure in myasthenia gravis. Serial X-chest showing marked left atelectasis from a mucus plug (A) and gradual improvement after intubation and bronchoscopy (B, C)….
