【持续性肾脏替代治疗CRRT，Non-infectious causes of fever in ICU.pptVIP

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2018-03-24 发布于湖北
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【持续性肾脏替代治疗CRRT，Non-infectious causes of fever in ICU.ppt

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【持续性肾脏替代治疗CRRT，Non-infectious causes of fever in ICU

debate re source of bactermia; line is removed 19 imi to mero + amikacin; ct chest nodular densities 20 cath no growth; voriconazole added; serum galactomannan sent 21 intubated for resp failure; pulm edema vs emboli vs fungal 22 bactrim added; bronched 23 negative smears on BAL pressors started 24 wbcs rising; renal failure; cefepeime vori acyclovir vanc 25 26 off pressors , extubated 27 28 negative serum galactomannan 29 diarrhea; oral vanco started 30 31 32 33 34 35 back to micu sepsis resp failure 36 back to micu 38 death * T CHEST WITH CONTRAST Proc Ord: CT CHEST W/O CONTRAST Exm Date: FEB 19, 2010@15:21 Req Phys: SHAH,SAPNA S Pat Loc: OP Unknown/03-30-2010@15:41 Img Loc: W CT SCAN Service: MEDICAL-(W) (Case 2151 COMPLETE) CT CHEST WITH CONTRAST (CT Detailed) CPT:71260 Contrast Media : Non-ionic Iodinated Reason for Study: sob, concern for septic emboli Clinical History: Is this procedure to screen for malignancy? No 6056 PORTER RD NORTH OLMSTED, OHIO 44070 440 734 2916 Clinical History: persistent bacteremia now with sob, concern for septic emboli. Report Status: Verified Date Reported: FEB 19, 2010 Date Verified: FEB 19, 2010 Verifier E-Sig:/ES/HOSSAM K. SAAD Report: Comparison: No previous studies available for comparison. Procedure: Scans were made from the thoracic inlet through the upper abdomen. I.V. contrast was given. Findings: Extrathoracic: No axillary adenopathy. No subcutaneous nodules are seen. Pleura: Trace bilateral pleural effusions. No pneumothorax. No pleural calcifications. Lungs: Multiple subcentimeter ill-defined peripheral nodula