nights after annual leave

Question 1

bed 23

Answer 1

sepsis LLZ CAP + rhinovirus

CG
52 F
amitted 3/11, intubated for resp failure and agitated

#Duodenitis on CT
-remains on nil feeds
#BG of alcohol use disorder
-commenced on regular diazepam
#Transaminitis
-Liver US
-NAC
#AKI

Question 2

bed 24

Answer 2

intra-op sigmoid diverticulitis

LG
78M
8/11 post exent for anorectal malonoma

#femoral hernia repair
#BG T2DM

Question 3

Bed 25

Answer 3

DLBCL

AS
28F
6/11, rapid response for tachypnoea with acute hydrocephalus

-recent pet 31/10 shows progressive disease, left hemithorax and spinal canal
-awaiting plan re: chemo and CAR-T

-ceftriaxone escalated to tazocin

plan
CWF

Question 4

bed 26

Answer 4

distal transverse colon cancer

PG
34M
7/11 open left hemicolectomy, en bloc resection of gastric wedge and duodenum

-requiring multiple sedative infusions plus analgesics

#malnutrition