Question A 42-year-old intravenous drug user was transferred to the ward for noninvasive respiratory support after discharge from the intensive care unit, where she had been treated for fungal pneumonia and septicemia. She had alcoholic cirrhosis, chronic active hepatitis B, and
Question A 45-year-old man presented to the emergency room with abdominal pain that had been increasing over the previous week and hematemesis and melena that had begun in the preceding 12 hours. He had drunk 36 alcoholic drinks per day for 20 years and
Question A 72-year-old man presented with unstable angina. An urgent cardiac catheterization showed clinically significant disease in the right coronary artery, which was stented.Twelve hours after urgent coronary angiography, the appearance of this patient’s feet had changed. What is the most likely explanation
Question A 73-year-old man presented with a self-inflicted stab wound to the abdomen. A plasma ethanol level of 27 mg per deciliter was found on preliminary toxicologic screening; the results of chemical analyses were normal. No internal injuries were found on exploratory laparotomy.
Question A 47-year-old man was transferred to the emergency department of hospital at 10 a.m. on a day in early June because of altered mental status and acute renal failure. At approximately 8 p.m. the previous evening, the patient had been behaving