An 80-year-old patient underwent abdominal surgery (part of the small intestine was resected due to ischemia). Dyspnea developed on the 3rd day after extubation. Tachypnea with RR of about 30/minute. Physiological blood gas exchange. No antibiotic therapy. Lab tests revealed decreasing levels of inflammatory markers. No metabolic acidosis was present. We started looking for the …
An 82-year-old patient underwent surgery for big retrosternal goitre. The jugular approach was used. Patient´s medical history had been minimal so far. Bleeding into surgical wound occurred shortly after surgery. Prompt re-intubation and surgical revision were necessary. A short period of haemodynamic instability occurred during surgical revision. Blood loss of 500 ml was compensated via …
A patient in haemorrhagic shock was receiving mechanical ventilation. The shock developed due to bleeding into retroperitoneum, which resulted from anticoagulation therapy received for deep vein thrombosis. Thrombosis was found in the popliteal vein previously. Distal veins of the calf were of confusing appearance. Check ultrasonography of the left calf was performed:
A 76-year-old patient was admitted to hospital for state after out-of-hospital cardiac arrest. According to witnesses, the patient collapsed and was unconscious. Basic life support had not been performed. After the arrival of an ambulance, cardiac massage and artificial ventilation were started. Quick ECG analysis revealed stimulated ventricular rhythm without a palpable pulse over carotid …
A 60-year-old patient, day four after the hip endoprosthesis surgery on the right side. The operation was performed in spinal anaesthesia without insertion of a central venous catheter. Bleeding out of surgical drain appeared during the postoperative period – conservative approach, two transfusions of packed red blood cells. The patient was transferred to ICU due …
A patient with a history of CPR for acute myocardial infarction with the necessity of veno-venous ECMO and subsequent development of secondary sclerosing cholangitis – sclerosing cholangitis in critically ill patients (SC-CIP). She was admitted to the ICU for a shock, hematemesis and melena. Gastroscopy revealed varices in the region of the gastric fundus. …
A patient was admitted to hospital for gradually worsening dyspnea during the last 14 days. She presented with hypoxemia, hypercapnia, respiratory acidosis not compensated metabolically and with significant spastic breathing sounds bilateral. She is severely obese (155 kg). Her history encompasses nephrectomy for renal carcinoma, hysterectomy for adenocarcinoma and right hemicolectomy for ascending colon carcinoma. …
A patient with a history of severe atherosclerosis complains of dull, diffuse abdominal pain occurring typically after the meal. Ultrasound findings of the visceral vessels:
A 69-year-old man with a history of chronic ischemic heart disease, myocardial infarction and chronic heart failure. He underwent implantation of CRT (biventricular cardiac resynchronisation stimulation therapy) one year ago. Now the patient was admitted to the department of internal medicine for worsening dyspnea. Coronarography revealed the diffuse 3-vessels disease. The finding did not require …
Several physiological findings during chest ultrasonography (apart from heart) are presented here:
