November 2017 critical care case of the month

• Main Author: Fountain S
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2017-11-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: epiglottitis; renal failure; obstructive uropathy; CT scan; symtoms; laryngoscopy; septic shock; treatment; sore throat; Foley catheter
• Online Access: http://www.swjpcc.com/critical-care/2017/11/2/november-2017-critical-care-case-of-the-month.html

No abstract available. Article truncated after first page. History of Present Illness A 56-year-old man presented with “food stuck in throat” since eating steak 18 hours prior to presentation. He is unable to eat or drink and has a sore throat. He is able to speak but has a “hoarse voice.” He denied drooling. Past Medical History, Family History, and Social History • He described himself as “healthy” and had not sought medical care in years. • Former smoker but quit 2 years ago. • He uses alcohol daily. • He denied illicit drug use. Physical Exam • Afebrile, blood pressure 137/74 mm HG, heart rate 74 beats/min, SpO2 98% on room air. • Physical exam was normal Which of the following should be done next? 1. Esophagogastroduodenoscopy (EGD) 2. Papain (Adolph’s Meat Tenderizer®) administration 3. Tracheostomy 4. 1 and 3 5. All of the above …