Case Synopsis A 75-year-old man with dyslipidemia and hypertension is scheduled for elective laparoscopic repair of hiatal hernia. He has been on nothing-by-mouth (NPO; from the Latin, nil per os ) status for 12 hours except for his antihypertensive medications…
Case Synopsis A 55-year-old man is scheduled for emergency exploratory laparotomy for small bowel obstruction. Anesthesia is induced with intravenous (IV) fentanyl, lidocaine, propofol, and succinylcholine and maintained with sevoflurane in an air-oxygen mixture with vecuronium. During the surgery the…
Case Synopsis 1 Pheochromocytoma A 38-year-old woman presents in the surgical outpatient department with recurrent attacks of palpitations, headache, diaphoresis, occasional right-sided abdominal pain over the last year, and a neck swelling for the last 2 months. On examination she…
Case Synopsis A 72-year-old man is scheduled for a right-sided pneumonectomy for non–small-cell lung cancer. He has a past medical history of long-standing smoking, diabetes mellitus, and hypertension. He has a remote history of non–Q-wave myocardial infarction with a coronary…
Case Synopsis A 60-year-old man with a history of osteoarthritis has been taking naproxen for the past 3 years without complications or side effects. He experienced sudden severe nausea and vomited frank blood. He was taken to the emergency department…
Case Synopsis An 82-year-old woman with a significant past medical history of hypertension and coronary artery disease undergoes carotid endarterectomy (CEA) under regional anesthesia. She experienced an episode of dysphasia and transient weakness affecting her left side 3 days previously.…
Case Synopsis An 88-year-old woman with a background of hypertension, angina, and mild asthma presented to the emergency department (ED) with a 10-day history of abdominal pain, nausea and vomiting, and reduced oral intake. She was initially being treated for…
Case Synopsis A 3-year-old boy presents for inguinal hernia repair. His past medical history is unremarkable except for an upper respiratory infection 3 weeks ago that was characterized by a low-grade fever, thin rhinorrhea, and a mild cough that resolved…
Case Synopsis A 73-year-old man presents with a history of aortic stenosis, coronary artery disease, peripheral vascular disease, dyspnea at rest, and chronic renal failure (creatinine level 1.6 mg/dL). Myocardial function is moderately reduced (left ventricular ejection fraction is 35%).…
Case Synopsis A healthy, 41-year-old man presented to his primary care physician with a 3-month history of right-sided temporal-occipital headaches. He was initially treated conservatively with oral analgesics and subsequently an occipital nerve block without significant improvement. Magnetic resonance imaging…