Case Synopsis An 81-year-old woman with dyspnea at rest due to aortic stenosis (valve area 0.4 cm 2 , mean gradient 50 mm Hg) presents for aortic valve replacement. Past medical history is significant for a recent pulmonary embolism, for…
Case Synopsis A 70-year-old man with a history of valvular heart disease, peripheral vascular disease, and diabetes mellitus is scheduled to undergo a below-the-knee amputation. The patient has been receiving daily anticoagulation with warfarin since his aortic valve replacement 5…
Case Synopsis An 8-year-old, previously healthy girl is admitted with respiratory distress, wheezing, and stridor. Her symptoms have been slowly progressive over 2 weeks and are associated with nocturnal fever and exercise intolerance. The chest radiograph demonstrates a widened mediastinum…
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…