SSRI, selective serotonin reuptake inhibitors; MAO, monoamino oxidase. TABLE 14.2 Causes to Consider in Coma and Seizures Due to Toxins Coma Seizures Alcohols Tricyclic antidepressants Carbon monoxide Cocaine Benzodiazepines Amphetamines…
FIGURE 17.1 Assessment of level of sedation and delirium in the ICU. RASS, Richmond Agitation Sedation Scale (see Table 17.3); CAM-ICU, Confusion Assessment Method for the ICU: delirium is diagnosed…
Adapted from Wijdicks et al., 2010. ABG = arterial blood gas; BP = blood pressure; CPAP = continuous positive airway pressure; PEEP = positive end expiratory pressure; TMJ = temporomandibular…
FIGURE 25.1 Differential diagnosis between cerebral salt wasting (CSW) and syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Some patients with aSAH become extremely polyuric, and this tends to occur…
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…
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…
