Critical Care | Case Studies | Insights
A Dormant Storm Rekindled at 26 Weeks A breakthrough seizure in pregnancy masquerading as eclampsia 01) Diagnosis 02) History of Present Illness (HPI) 03) Past Medical History 04) Obstetric History 05) Physical Examination 06) Vitals on Admission HR ~92/min, BP 140/90 mmHg, RR 18/min, Temp:-Afebrile, SpO₂-98% on room air, GCS13/15 (E3 V4 M6) 07) Echocardiography…
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The Fire Within: A Battle Against Pancreatic Storm — When Pancreatitis Turns Multiorgan 01) Diagnosis 02) History of Present Illness (HPI) 03) Past Medical History 04) Physical Examination 05) Vitals on Admission 06) Echocardiography (ECHO) 07) Investigations (Baseline – Day 0) Test Result Interpretation CBC Hb 10.8 g/dL, WBC21,800/mm³, Plt 160k Infection RFT Urea 86…
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The Burning Within: A Fight for Life After Acid Ingestion 1) Diagnosis 2) History of Present Illness (HPI) 18-year-old female was brought to the ER after intentional acid ingestion (unknown quantity). She was unconscious, unresponsive, with rapid breathing, weak pulse, and cold extremities. There was no history of trauma, fever, or seizure before ingestion. No…
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The Farmer’s Flood: A Battle Against Leptospiral Pulmonary Hemorrhage 1) Diagnosis 2) History of Present Illness (HPI) 3) Past Medical History 4) Physical Examination 5) Vitals on Admission 6) Echocardiography (ECHO) 7) Investigations Day 0 (Admission): Day Na+ K+ Creatinine PaO2/FiO 2 CRP Platelets 0 132 3.8 3.8 85 148 28k 1 134 4.5 4.5…
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The Silent Road – A Battle Between Steel and Brain 1) Diagnosis 2) History of Present Illness (HPI) 3) Past Medical History 4) Physical Examination (on arrival to ER) 5) Vitals on Admission 6) Investigations 7) Day 0 (Emergency Room & ICU Admission) 8) Day-by-Day ICU 9) Key Clinical Pearls 10) Storytelling Narrative He was…
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The Silent Swell that Spoke Cancer 1) Diagnosis 2) History of Present Illness (HPI) 3) Past Medical History 4) Physical Examination 5) Vitals on Admission 6) Investigations 7) Imaging 8) Emergency Stabilization (Day 0 – ER) 9) Day-by-Day ICU/Pre-op & Operative Course 10) Adjuvant Therapy Course 11) 3-Month Follow-Up 12) Key Clinical Pearls 13) Case…
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Influenza A Triggered ARDS in a Young Man 1) Unique Case Name 2) Diagnosis 3) History of Present Illness (HPI) 4) Past Medical History 5) Physical Examination 6) Vitals on Admission 7) Echocardiography (ECHO) 8) Investigations Day Na K Creat PaO₂/FiO₂ CRP Lactate 0 130 4.9 2.1 90 165 3.6 1 132 4.7 2.5 100…
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The Numb Traveler: From Feet to Breath 1) Diagnosis 2) History of Present Illness (HPI) 3) Past Medical History 4) Physical Examination 5) Vitals on Admission 6) Echocardiography (ECHO) 7) Investigations Baseline (Day 0): Follow-up Trends: Day FVC (mL/kg) ABG (pCO₂) Na K Notes D0 14 48 138 4.1 NIV standby D1 12 52 139…
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Paraquat Poisoning in ICU 1) History 2) Vitals on Admission 3) Initial Investigations 4) ICU Admission & Day-by-Day Course 5) Summary Table Day Events Key Treatment 1 Oral burns, AKI early Activated charcoal, Hemoperfusion, NAC, Steroids, Cyclophosphamide 2 Oliguria, AKI worsens CRRT, Noradrenaline, Meropenem 3 ARDS develops Intubation, Lung-protective ventilation, Antioxidants 4 Shock, MODS Dual…
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Hemorrhagic Dengue with Shock History of Present Illness Past Medical History On Examination (ICU Admission, Day 1 Critical Phase) Investigations on Admission (Day 1) Test Result Interpretation Hb 14 g/dL Normal HCT 49% (baseline 38%) ↑ Hemoconcentration → plasma leakage WBC 3,200/µL Leukopenia, typical of viral infection Platelets 36,000/µL Severe thrombocytopenia AST/ALT AST 480ALT 300…
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