Table of Contents Section I: Cases 1 Dyspnea and Edema Blair D. Westerly, MD, and Hiroshi Sekiguchi, MD 2 An Electrical Problem Ronaldo A. Sevilla-Berrios, MD, and Erica D. Wittwer, MD, PhD 3 Hypertension Srikant Nannapaneni, MBBS, Lisbeth Y. Garcia Arguello, MD, and John G. Park, MD 4 A Rare Cause of Liver Failure Alice Gallo de Moraes, MD, Sarah A. Narotzky, MD, and Teng Moua, MD 5 Shortness of Breath Carlos J. Racedo Africano, MD, and Darlene R. Nelson, MD 6 Acute Respiratory Failure in a Young Smoker Mazen O. Alqadi, MBBS, and Bernardo J. Selim, MD 7 Shock Mazen O. Alqadi, MBBS, John C. O>'Horo, MD, MPH, and Larry M. Baddour, MD 8 Diffuse Abdomninal Pain in a 45-Year-Old Woman Mazen O. Alqadi, MBBS, Jasleen R. Pannu, MBBS, and Teng Moua, MD 9 An Over-the-Counter Intoxication Ronaldo A. Sevilla-Berrios, MD, and Kianoush Kashani, MD 10 An Over-the-Counter Overdose Mazen O. Alqadi, MBBS, Sarah B. Nelson, PharmD, RPh, and Bernardo J. Selim, MD 11 A PostDSMyocardial Infarction Complication Mazen O. Alqadi, MBBS, and Eric L. Bloomfield, MD 12 Massive Hemoptysis Mazen O. Alqadi, MBBS, and Mark E. Wylam, MD 13 Hypotension Following a Broken Hip Joseph H. Skalski, MD, and Daryl J. Kor, MD 14 Extubation Failure Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD 15 Hypotension and Right-Sided Heart Failure After Left Pneumonectomy Misty A. Radosevich, MD, W. Brian Beam, MD, and Onur Demirci, MD 16 More Than Meets the Eye Sumedh S. Hoskote, MBBS, Shivani S. Shinde, MBBS, and Nathan J. Smischney, MD 17 Reverse Apical Ballooning Syndrome Due to Clonidine Withdrawal Pramod K. Guru, MBBS, Dereddi Raja S. Reddy, MD, and Nandan S. Anavekar, MB, BCh 18 A Well-Known Cardiac Condition With a Unique Presentation Sumedh S. Hoskote, MBBS, Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD 19 Electrolyte Abnormalities During Continuous Renal Replacement Therapy Sumedh S. Hoskote, MBBS, Fouad T. Chebib, MD, and Nathan J. Smischney, MD 20 A Disease Masquerading as Septic Shock Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD 21 A Respiratory Infection Kelly A. Cawcutt, MD, and Cassie C. Kennedy, MD 22 Infection in a Patient With Chronic Myeloid Leukemia Michelle Biehl, MD, Lisbeth Y. Garcia Arguello, MD, and Teng Moua, MD 23 Torsades de Pointes Andrea B. Johnson, APRN, CNP, and Thomas B. Comfere, MD 24 The Kidneys Can See When the Eyes Cannot Sarah J. Lee, MD, MPH, and Floranne C. Ernste, MD 25 An Upper Airway Crisis Mazen O. Alqadi, MBBS, and Mark T. Keegan, MD 26 An Endocrine Emergency W. Brian Beam, MD, and Ognjen Gajic, MD 27 Acute Renal Failure Mazen O. Alqadi, MBBS, and Amy W. Williams, MD 28 Hypoxia and Diffuse Pulmonary Infiltrates in an Immunosuppressed Patient With Vasculitis Matthew E. Nolan, MD, and Ulrich Specks, MD 29 A Paraneoplastic Syndrome Andres Borja Alvarez, MD, and Emir Festic, MD 30 Complicated Diarrheal Illness Arjun Gupta, MBBS, and Sahil Khanna, MBBS 31 Persistent Shock With Hemorrhagic Complications Sangita Trivedi, MBBS, Rahul Kashyap, MBBS, and Michael E. Nemergut, MD, PhD 32 An Unusual Presentation of Disseminated Histoplasmosis Lokendra Thakur, MBBS, and Vivek Iyer, MD, MPH 33 Complications of Cirrhosis Raina Shivashankar, MD, and Purna C. Kashyap, MBBS 34 A Curious Case of Abdominal Pain Pramod K. Guru, MBBS, Abbasali Akhoundi, MD, and Kianoush B. Kashani, MD 35 Weakness in the Intensive Care Unit Christopher L. Kramer, MD, and Alejandro A. Rabinstein, MD 36 Altered Mental Status and Rigidity Christopher L. Kramer, MD, and Alejandro A. Rabinstein, MD 37 Overdose Arjun Gupta and Sahil Khanna, MBBS 38 An Unusual Encephalopathy Rudy M. Tedja, DO, and Teng Moua, MD 39 Brain Death Dereddi Raja S. Reddy, MD, Sudhir V. Datar, MBBS, and Eelco F. M. Wijdicks, MD, PhD 40 Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome Kelly A. Cawcutt, MD, Craig E. Daniels, MD, and Gregory J. Schears, MD 41 Chest Pain and Respiratory Distress David W. Barbara, MD, and William J. Mauermann, MD 42 Portal Venous Gas Brendan T. Wanta, MD, Arun Subramanian, MBBS, and Mark T. Keegan, MD 43 Acute Respiratory Failure in a Stem Cell Transplant Patient Channing C. Twyner, MD, and Arun Subramanian, MBBS 44 Flail Chest Sumedh S. Hoskote, MBBS, John C. O>'Horo, MD, MPH, and Craig E. Daniels, MD 45 Coma Muhammad A. Rishi, MBBS, Sarah J. Lee, MD, MPH, and Teng Moua, MD 46 A Bleeding Disorder John C. O>'Horo, MD, MPH, and Philippe R. Bauer, MD, PhD 47 A Cardiopulmonary Resuscitation Complication John C. O>'Horo, MD, Sumedh S. Hoskote, MBBS, and Hiroshi Sekiguchi, MD 48 Severe Influenza ADSAssociated Acute Respiratory Distress Syndrome Rudy M. Tedja, DO, and Craig E. Daniels, MD 49 Severe Chest Pain Ronaldo A. Sevilla Berrios, MD, and R. Thomas Tilbury, MD 50 A More Frequent Airway Emergency Shihab H. Sugeir, MD, and Francis T. Lytle, MD Section II: Questions and Answers Questions Answers