Case Synopsis A 30-year-old woman, gravida 3, para 2, presents at 28 weeks’ gestation with vaginal bleeding. She has had a previous myomectomy and two previous cesarean deliveries. This is her first episode of bleeding in pregnancy. The estimated blood…
Case Synopsis A 28-year-old gravida II, para I woman at 36{2/7} weeks’ gestation presents with a fetus prenatally diagnosed with a large cystic left lung mass. Ex utero intrapartum therapy is planned to establish an airway before delivery and possibly…
Case Synopsis A 65-year-old man with a major depressive illness is scheduled to commence his first course of electroconvulsive therapy (ECT). Medical assessment before commencing treatment reveals he is otherwise well, apart from being hypertensive (serial readings in the order…
Case Synopsis An obese 3-year-old boy (body mass index 30) with obstructive sleep apnea (apnea hypopnea index 10) presents for tonsillectomy and adenoidectomy. In the postanesthesia care unit, his respiratory rate is 10 breaths per minute with significant respiratory pauses,…
Case Synopsis A 74-year-old man with chronic stable angina, hypertension, and a previous myocardial infarction is undergoing an endovascular aneurysm repair (EVAR) of an infrarenal para-anastomotic aortic aneurysm under general anesthesia. Previous dipyridamole thallium testing revealed a large, fixed myocardial…
Case Synopsis A 4-year-old girl with a history of recent upper respiratory tract infections (URIs) and symptoms of clear rhinorrhea and occasional nonproductive cough and a history of low-grade fever 3 days ago presents for a tonsillectomy and adenoidectomy under…
Case Synopsis A 79-year-old man presents with C1 and odontoid fractures sustained in a fall down stairs while he was intoxicated. He was found at the bottom of the stairs 2 days after the injury. In addition to alcoholism, the…
Case Scenario Mrs. R, a 45-year-old woman, was admitted to the hospital pregnant with her fourth child. She was delivered of her daughter the next day but suffered hemorrhagic complications related to placenta accreta. Because of her religious beliefs, Mrs.…
Case Synopsis A 55-year-old man with severe chronic obstructive airway disease and steroid dependence is taken to the operating room emergently for an acute abdomen due to a perforated colonic diverticulum. The patient has been maintained on 10 mg of…
Case Synopsis A 35-year-old man sustains a gunshot wound to the abdomen. He is taken emergently to the operating room where he is found to have a perforated colon with stool and pus in the abdomen. He undergoes a partial…