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…
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…