Multisystem Processes & Disorders


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F1.jpg"}},{"insert":"\n\n"},{"insert":"\u0027...a triple digit on the temperature scales today, you heard me right, 111 degrees! For you metric folks out there, that\u0027s around 44 celsius, so switch on your ACs, hydrate and avoid the great outdoors...\u0027\r\n\r\n\u0022You have no idea,\u0022 you mutter, as you mop your sweaty brow with your already soaked handkerchief in the crawling traffic on your way to the hospital.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F2.jpg"}},{"insert":"\n\n"},{"insert":"You\u0027re sorely reminded of the missed appointment to have your car\u0027s air conditioning fixed, and make a solemn vow to get this done as a relieving blast of cool air greets you at the hospital doors.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F3.jpg"}},{"insert":"\n\n"},{"insert":"In the call room, you grab a bottle of cold water and are just about to slump into your usual spot on the couch as the emergency sirens go off. You quickly step outside to see who your first patient for the day is.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F4.jpg"}},{"insert":"\n\n"},{"insert":"Walter Cole, a 46-year-old stock broker, as it says on an ID in his wallet, was found unconscious at the park in jogging clothes 20 minutes ago by emergency services, who were alerted by an onlooker.\r\n\r\nHe was unresponsive with no signs of cardiopulmonary arrest. Oxygen was administered prior to arrival.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F5.jpg"}},{"insert":"\n\n"},{"insert":"A quick glance at his medical records shows that he is not diabetic or hypertensive and has been in good health over the past few years save for a bout of the flu.\r\n\r\nYou proceed to examine him and immediately notice that his skin seems hot and he is not sweating.\n\nHe has a rectal core temperature of 40.6\u02daC with a pulse of 128 beats\/min, a respiratory rate of 32 cycles per minute, and an SPO2 of 95% on oxygen.\r\n\r\nHis blood pressure is 100\/60mm Hg and his Glasgow Coma Scale (GCS) 7\/15 (E-1, V- 2, M-4). A random blood glucose reads 98mg\/dL.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M21_F6.jpg"}},{"insert":"\n\n"},{"insert":"You perform a quick systemic exam, which reveals no abnormalities. His wife, who has just arrived, says that he had been out jogging for over two hours following a bad trade the night before.\r\n\r\nAs differentials run through your head, you ponder over the best line of management for Mr. Cole.\n"}]}