# 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?**

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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

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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\
[Link to Full Case](https://app.figure1.com/case-detail/3f0d5a9e-d86f-4ff8-84ee-9383c0935d02)

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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.  
[Link to Full Case](https://app.figure1.com/case-detail/42afdac9-12d3-409a-a4cb-37532b9f3e56)

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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!