Critical Care | Case Studies | Insights
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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Septic Shock with AKI on CKD, Hepatic Encephalopathy & Uncontrolled Diabetes Case Presentation A 62-year-old male presented to the ICU with fever, altered sensorium, hypotension, and reduced urine output for 24 hours. Past Medical History Past Medical History Septic shock with AKI (on CKD) + Hepatic encephalopathy (Grade II–III) + uncontrolled diabetes mellitus. ICU Management…
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The Sweet Crisis: A Case of Diabetic KetoacidosisCase Presentation A 28-year-old female, known case of Type 1 Diabetes Mellitus, presented to the Emergency Department with abdominal pain, vomiting, and altered sensorium for 1 day. Laboratory Findings Parameter Patient Value Normal Range RBS 456 mg/dL 70–140 mg/dL Arterial pH 7.12 7.35–7.45 HCO₃⁻ 10 mEq/L 22–28 mEq/L…
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Poison in the Fields: The Glyphosate Gamble Case from the ICU Desk – CriticalICU Case Summary A 38-year-old male, known case of Diabetes Mellitus and Ischemic Heart Disease, presented to the emergency department after ingesting ~80 g of ammonium salt of glyphosate (71%), a common herbicide.He arrived fully conscious, oriented, afebrile, but with persistent vomiting.…
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Battling the Brain Bleed: A Neuro-ICU Success Story Introduction In the high-stakes world of intensive care, seconds matter and decisions define outcomes.Today’s story takes us inside the ICU, where a 51-year-old woman fought one of the deadliest brain emergencies: a massive hypertensive intracerebral hemorrhage with intraventricular extension.This is more than just a medical case —…
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PCI in a Patient with Triple Vessel Disease (TVD) Patient Details Name: ABCAge/Sex: 59 Years / MaleK/C/O : Hypertension (on Tab Concor 5 mg OD)Date of Admission: 14-07-2025 Presenting Complaints: Duration: 12–15 daysInitial Clinical Assessment General and Systemic Examination: Normal findings; no pedal edema, JVD, or murmurs. Investigations Hematology and Biochemistry Test Value Interpretation Haemoglobin…
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