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…
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…