Green with ST

Question 1

RH

Answer 1

T2RF + ?CAP

Robert Halfpenny
retrieved from forbes T2RF
presented to fobes ED 11/9 following multiple syncopal episodes
treated as IECOPD + cap

#AF with RVR
#Right heart dysfunction, likely rv failure
#aki

Question 2

LL

Answer 2

Leon Lin
D18 decortication x2
D8 revision of thoracotomy wound
TF from St George for management of VV ECMO in bleeding patient with preseuemd HITTS

PC feel 3 weeks ago while intoxicated

Issues
#T1RF on VV ECMO - Left ruptured lung abscess
-initiated at st George on 4/8
#Left heamothorax requiring multiple decortications and washouts
#bronchopleural fistula - significant air leak in chest drains
#ant thoracotomy wound dehiscence - OT for washout 4/9
#intra-op chest cavity samples growth of E. faecium VRE
-Rx with IV Augmentin 25/8–>3/9
#Coagulatpathy - thrombocytopenia
-HITTS screen negative
#29/8 tracheostomized for weakness
-complicate distal traceal fracture - D/W ENT not for acute intervention
#Right pleural effusion - 29/8 perc ICC

Question 3

PK

Answer 3

Severe T2RF, bipap and then intubated

Panagiotis Kalogeropoulos 73

3/9 presented to GP with URTI–> ED–> admitted
adm 9/9 at rapid

#Covid 19 pneumonitis
#superimposed bacterial CAP - h influence
#bronachospasm and IECOPD
#T2MI/NSTEMI - SAPT aspirin, trop 59–>716

Question 4

PT

Answer 4

paul thoth 52male

adm 10/9 for polypharm overdose

vasoplegic shock
aspiration pneonia
trop rise with ecg change