Author: yon.yohannes

The Critically Ill Tox Patient

The Case 34 year-old woman with past medical history of postpartum cardiomyopathy (EF 15%) with AICD, mechanical mitral valve replacement, and depression was brought in by EMS for non-accidental ingestion of bupropion, furosemide, and warfarin. The dosage, number of tablets,…

Palpitations and Valvular Disease

The Case 58 year-old man with history of mitral valve prolapse presents with 4 days of intermittent palpitations, lightheadedness, and shortness of breath. The symptoms resolve spontaneously. He denies any illicit substance use. Vital signs on arrival: T 97.5F, HR…

Abdominal Compartment Syndrome

By: Yonatan Yohannes, MD Abdominal Compartment Syndrome Who: The critically ill. Most commonly in shock, burn patients, polytrauma patients.   What: Primary -> abdominopelvic disease/injury: trauma, pancreatitis, surgery, etc. Secondary -> conditions originating elsewhere: sepsis, burns   When: Normal IAP…

Management of Severe Acidemia

Presented by: Dr. Cassie Thomassin Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan   The Fictitious Case A 22 y/o F with PMH insulin-dependent DM and hypothyroidism is brought in by EMS for altered mental…

Morning Report: 6/29/2015

Deep Space Neck Infections! Anatomy Image from: http://www.uptodate.com/contents/image?imageKey=PEDS%2F74998&topicKey=ID%2F3415&rank=1~17&source=see_link&search=deep+neck+infection&utdPopup=true   Types Peritonsillar space (abcess) Parotid space Submandibular space (Ludwig’s angina) Pretracheal space Prevertebral space Parapharyngeal space Retropharyngeal & danger space   History & Physical Exam Findings – Dysphagia      …