Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Case Study Discussion 1

Video Transcription

Video Summary

The video transcript discusses three different medical cases and their management. In the first case, a patient presents with symptoms of severe malaise, abdominal pain, nausea, and vomiting. They have no known medical history but recently returned from a camping trip in Haiti. The patient is diagnosed with acute viral hepatitis and is not in the fulminant stage. The discussion emphasizes the different stages of acute hepatitis and the potential complications associated with liver failure. The second case involves a patient with confusion, cough, dyspnea, and a history of drug use. They present with signs of septic shock and AKI. The discussion focuses on determining the severity of renal function and the appropriate use of fluids, including the preference for balanced crystalloids over normal saline. The third case involves a patient with multiple episodes of bloody vomit, lightheadedness, and hypotension. They are diagnosed with esophageal variceal bleeding and the discussion includes the use of antibiotics and endoscopic therapy for prevention and management. The importance of two EGDs before considering TIPS is also mentioned. Overall, the video transcript provides a concise summary of these cases and highlights key points in their management.

Asset Caption

Rajat Kapoor, MBA, MD

Keywords

medical cases

acute viral hepatitis

severe malaise

septic shock

AKI

esophageal variceal bleeding

endoscopic therapy

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