Jaundice p.t

Clinical Presentation

15 y/o male p.t presented with jaundice for 1 day duration. P.t complains of flu-like illness from 2 wks ago, in the last 2 days he also mentions sweating and abdominal pain. His father died 5 years ago from liver cirrhosis, but they didn’t know what caused his liver failure!

O/E Obese young boy generally appears ill but not toxic, conscious and alert

• RUQ tenderness, mild hepatomegaly
• Abdomen soft, not distended
• Sclera icterus, pyrexial

What's your DDX?

A 40 y/o female p.t complains of SOB which is associated with fever and rigor.
history of CABG 8 month ago
O/E: Pyrexial, ill appearance
on auscultation Crackles

22 y/o F, P.t referred from clinic with dyspnea, associated with fever and rigour’s.
She had flu-like illness two weeks ago, from 2 days ago she had severe dyspnea with fever and rigours.
On admission SpO2 60%, BP 80/50, HR 110,
Generally appears very ill, agitated and dyspneic
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22 y/o male presenting with fever and headache. Not appearing ill. Has been in Congo for 1 month, 1 month ago. Guess the pathogen.
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This #Critically-ill-patient in his 60's with PMH of COPD and afib was transferred to the MICU due to respiratory failure requiring intubation.
Sputum culture from a bedside bronch started growing #acinetobacter. It is #multi-drug-resistant.
He is being treated with polymixin and minocycline.
We avoided gentamicin due to acute on chronic renal failure.
#acinetobacter is typically due to #nosocomial infections and is relatively uncommon. It is a nasty one!