April 2015 critical care case of the month: half-sided light house

• Main Authors: Loftsgard T, Frost A, Evans D, Kolbet K
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2015-04-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: atrial fibrillation; rapid ventricular response; ECG; re-expansion pulmonary edema; unilateral pulmonary edeam; ultrasound; bedside ultrasound; b lines; thalidomide; DTPACE
• Online Access: http://www.swjpcc.com/critical-care/2015/4/2/april-2015-critical-care-case-of-the-month-half-sided-light.html

No abstract available. Article truncated after 150 words. History of Present Illness: A 55 year old woman was transferred to the ICU from the general medicine ward for tachycardia and acute hypoxic respiratory distress. She has multiple myeloma and had received cycle one of bortezomib, dexamethasone, thalidomide, cisplatin, doxorubicin, cyclophosphamide and etoposide (VDT-PACE) and radiotherapy to T7 for a pathologic compression. She was admitted for pain control from mucositis.Past Medical History: In addition to the multiple myeloma she has a past medical history of asthma, ovarian cysts, diverticulitis, eczema, pneumonia, laparoscopic cholecystectomy, total abdominal hysterectomy with bilateral salpingo-oophorectomy, appendectomy, ectopic pregnancy in the past, and left Bell's palsy. Current Medications: Acyclovir 400 mg BID, Albuterol 90 HFA prn, Allopurinol 300 mg daily, Fluconazole 200 mg BID, Gabapentin 300 mg BID, Hydromorphone , Levofloxacin 500 daily, Morphine, Omeprazole, Bactrim 400-80 mg daily for PCP prophylaxis, Thalomid 200 mg capsule daily, Ativan 0.5 mg just prior to transfer. Physical Examination ...