Case Synopsis A 58-year-old man with past medical history significant for poorly controlled hypertension, diabetes, and an active 30 pack-year smoking history presented to the operating room (OR) in cardiogenic shock following a failed emergency percutaneous coronary intervention (PCI). An…
Case Synopsis A 53-year-old woman with a long history of hypothyroidism and tobacco abuse presents to the emergency department with generalized weakness, lethargy, mild shortness of breath, edema of her lower extremities, constipation, and slow speech. She admits to stopping…
Case Synopsis A 32-year-old woman undergoes emergent general anesthesia maintained with 1.2% isoflurane for fixation of a compound humeral fracture. Preoperative history is significant for anxiety and intolerance to heat. Physical examination is noteworthy for periorbital swelling; warm, moist skin…
Case Synopsis A 27-year-old woman, at a gestational age of 37 weeks, is currently 4 cm cervical dilation and undergoing an induction of labor for worsening preeclampsia. Her blood pressure (BP) is 150/100 mm Hg after several doses of intravenous…
Case Synopsis A 34-year-old woman with known human immunodeficiency virus (HIV) infection and a recent diagnosis of acquired immunodeficiency syndrome (AIDS) with Pneumocystis jirovecii (previously carinii ) pneumonia presents for elective cesarean section at 38 weeks’ gestation. She has not…
Case Synopsis A 95-kg, 70-year-old man is scheduled to have a left internal carotid endarterectomy. He takes amlodipine (5 mg/day) and irbesartan (150 mg/day), an angiotensin II receptor antagonist, for hypertension. He took his usual doses of both medications on…
Case Synopsis An 86-year-old woman presents as an add-on operating room case late one afternoon for treatment of a hip fracture suffered in a fall at home. She lives independently with home assistance. She is clearly competent and articulate and…
Case Synopsis A 43-year-old African American male gas station attendant is scheduled for emergency exploratory laparotomy after sustaining an abdominal stab wound in an attempted robbery. He is dialysis dependent and awaiting renal transplantation. His last hemodialysis was 52 hours…
Case Synopsis A 38-year-old woman is transported to the emergency department (ED) via ambulance following a motor vehicle crash. Her medical history is notable for hypothyroidism, as well as a history of an intravenous (IV) opioid use disorder diagnosed at…
Case Synopsis A 38-year-old anesthesiologist is found unresponsive and cyanotic in the call room after failing to return from a break in the case of a patient undergoing a craniotomy for tumor. Both fresh and recent venipuncture sites are found…