2025 Multiprofessional Critical Care Review: Adult Online-Board Review Questions

Video Transcription

Video Summary

This medical case series covers acute presentations involving the liver, pancreas, trauma, and gastrointestinal (GI) bleeding. Key topics include:<br /><br />1. A 29-week pregnant woman with HELLP syndrome complicated by hepatic hematoma after placental abruption. Management focused on blood and platelet transfusion and pregnancy termination; liver transplant may be needed if conservative treatment fails.<br /><br />2. A 54-year-old man with acute alcoholic hepatitis, distinguished by typical AST>ALT ratio and hepatomegaly without vascular obstruction.<br /><br />3. A hypotensive trauma patient with a positive FAST exam requires immediate surgery.<br /><br />4. An elderly woman post-thromboembolectomy develops signs of intestinal ischemia with CT showing pneumatosis; urgent surgical consultation is mandated.<br /><br />5. A middle-aged man with acute abdomen and pneumoperitoneum indicating GI perforation requires urgent exploratory laparotomy.<br /><br />6. Patients with lower GI bleeding and tachycardia plus positive tagged RBC scans often need angiography for bleeding control.<br /><br />7. Massive lower GI bleeding with known hemorrhoids warrants direct endoscopic examination before advanced imaging.<br /><br />8. Acute pancreatitis with AKI demands early fluid resuscitation guided by ultrasound and lactate, delaying CT imaging and antibiotics unless complications develop.<br /><br />This comprehensive discussion highlights tailored diagnostic and management strategies for complex GI and hepatic emergencies.

Keywords

HELLP syndrome

hepatic hematoma

acute alcoholic hepatitis

FAST exam

intestinal ischemia

acute pancreatitis

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