- A 56 year old man admitted with sepsis, shock and encephalopathy in the setting of a recent diarrhoeal illness. Current issues: Findings of liver disease, decompensated chronic liver disease, encephalopathy, spontaneous bacterial peritonitis,
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- A 50 year old man admitted with GI bleed. Current issues: Linton tube, signs of chronic liver disease, TIPS procedure
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- A 68 year old man who had been in ICU for about a week, admitted with septic shock. Past history of TB meningitis, and DM and SLE. Current issues: Septic shock, disseminated cryptococcal disease, ARF on CVVHDF, poor nutritional state, liposomal amphotericin
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- A 58 year old male admitted to ICU after aspiration in recovery post laparotomy. Current issues: Failed trial of ECMO wean, worsening lung infiltrates, barotraumas, multi organ failure and hypothermia
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- A 54 year old lady admitted following a collapse secondary to an intracranial bleed. Findings: Left hemiparesis, EVD, fluctutating sensorium, CT scan showing hydrocephalus. Discussion issues: Managmeent of hydrocephalus, EVD infection, respiratory wean
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- A 61 year old lady admitted following an MVA. Current issues: Traumatic brain injury, pelvic lumbar and LL fractures, renal impairment with single kidney, persistently low Hb, rising Na.
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- A 64 year old man with previous Parkinsonian features following a traumatic brain injury admitted to ICU with decreased conscious level. Discussion topics: Parkinsonian features, septic encephalopathy, prognostication, management of wean.
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- A 76 year old man who presented with unstable angina and had an urgent CABG 4 days ago.
Bedside findings were:
a) Sternotomy and saphenous venotomy scars
b) Raised A-a gradient
c) PAFC
d) Haemodynamic data
e) CVVHDF on citrate anticoagulation
f) High dose inotrope requirement
Current issues were:
a) vasodilatory shock
b) Discussion of hypoxia
c) ARF – causes and management
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- A 73 year old man with chronic bronchiectasis and a left lower lobectomy, admitted to ICU post lung biopsy for diagnosis of BOOP. Findings: clubbing, tracheal deviation to left, stony dullness, poor chest compliance. Issues for discussion: Septic shock, difficult to ventilate, poor nutrition, discussion of PFT
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