Case Synopsis A 50-year-old African American woman with known pulmonary sarcoidosis, stage III, is to undergo a thoracotomy for resection of a right upper lobe aspergilloma. Chronically, she has a hoarse voice, dyspnea at rest, and swollen ankles. She is…
Case Synopsis A 65-year-old man is admitted for a colon resection for a nonobstructing cancer. He had a myocardial infarction 4 months ago with placement of a drug-eluting stent. He has been asymptomatic since the stent placement. The patient is…
Case Synopsis 1 A 64 – year-old man with low activity tolerance, a history of hypertension, obesity, and vague episodes of epigastric discomfort is scheduled for elective open partial colectomy. No preoperative electrocardiogram is obtained. The patient subsequently sustains a…
Case Synopsis A 25-year-old male athlete presents for repair of the anterior cruciate ligament of his knee. He is currently not on any medications. He has a negative personal and family history of abnormal clotting or bleeding or easy bruising.…
Case Synopsis A 36-year-old woman with a history of intermittent abdominal pain was scheduled for elective laparoscopic cholecystectomy. Anesthesia and surgery were uneventful. On the first postoperative day, the patient was noted to be restless and was complaining of severe…
Case Synopsis An 8-month-old boy undergoes myringotomy tube removal. Previous general anesthesia for tube placement was uneventful. Anesthesia is induced with intravenous thiopental and is maintained with nitrous oxide, halothane, and oxygen via a facemask. After removal of the myringotomy…
Case Synopsis A 33-year-old woman presents for a partial mastectomy and axillary lymph node biopsy. She has a history of seizure disorder well controlled on levetiracetam and mild asthma requiring occasional rescue with an albuterol inhaler. Her physical examination is…
Case Synopsis A 55-year-old man with a Medtronic Micra Leadless pacemaker (programmed VVIR) undergoes right total hip arthroplasty under general anesthesia. His past medical history is significant for atrial fibrillation and complete heart block. In the operating room the anesthesiologist…
Case Synopsis A physician’s husband has undergone partial nephrectomy at her hospital for a suspicious lesion in his left kidney. The surgery was complicated by fever and acute renal failure. While on call one evening, curious to see how her…
Case Synopsis A 22-year-old woman, 154 cm tall and weighing 44.2 kg, presents with a 4-month history of myasthenia gravis and mild generalized weakness (Myasthenia Gravis Foundation of America’s class IIA). The diagnosis is confirmed by the patient’s rapid improvement…