Rahul Kashyap, MBBS., Rochester, Minnesota Dr. Rahul Kashyap is a physician researcher in the Division of Critical Care Medicine (within the Department of Anesthesiology, Mayo Clinic, Rochester, MN) and holds academic rank of Assistant Professor of Anesthesiology in Mayo Clinic College of Medicine. He obtained his medical degree from Medical University at Madurai Medical College, Madurai, India. Before moving to Rochester, Dr. Kashyap did his residency in Emergency Medicine at All India Institute of Medial Sciences (AIIMS), New Delhi, India. He has co-authored 25 peer-reviewed journal articles with over 260 citations.

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• Table of ContentsSection I: Cases1 Dyspnea and EdemaBlair D. Westerly, MD, and Hiroshi Sekiguchi, MD2 An Electrical ProblemRonaldo A. Sevilla-Berrios, MD, and Erica D. Wittwer, MD, PhD3 HypertensionSrikant Nannapaneni, MBBS, Lisbeth Y. Garcia Arguello, MD, and John G. Park, MD4 A Rare Cause of Liver FailureAlice Gallo de Moraes, MD, Sarah A. Narotzky, MD, and Teng Moua, MD5 Shortness of BreathCarlos J. Racedo Africano, MD, and Darlene R. Nelson, MD6 Acute Respiratory Failure in a Young SmokerMazen O. Alqadi, MBBS, and Bernardo J. Selim, MD7 ShockMazen O. Alqadi, MBBS, John C. O'Horo, MD, MPH, and Larry M. Baddour, MD8 Diffuse Abdomninal Pain in a 45-Year-Old WomanMazen O. Alqadi, MBBS, Jasleen R. Pannu, MBBS, and Teng Moua, MD9 An Over-the-Counter IntoxicationRonaldo A. Sevilla-Berrios, MD, and Kianoush Kashani, MD10 An Over-the-Counter OverdoseMazen O. Alqadi, MBBS, Sarah B. Nelson, PharmD, RPh, and Bernardo J. Selim, MD11 A PostDSMyocardial Infarction ComplicationMazen O. Alqadi, MBBS, and Eric L. Bloomfield, MD12 Massive HemoptysisMazen O. Alqadi, MBBS, and Mark E. Wylam, MD13 Hypotension Following a Broken HipJoseph H. Skalski, MD, and Daryl J. Kor, MD14 Extubation FailureMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD15 Hypotension and Right-Sided Heart Failure After Left PneumonectomyMisty A. Radosevich, MD, W. Brian Beam, MD, and Onur Demirci, MD16 More Than Meets the EyeSumedh S. Hoskote, MBBS, Shivani S. Shinde, MBBS, and Nathan J. Smischney, MD17 Reverse Apical Ballooning Syndrome Due to Clonidine WithdrawalPramod K. Guru, MBBS, Dereddi Raja S. Reddy, MD, and Nandan S. Anavekar, MB, BCh18 A Well-Known Cardiac Condition With a Unique PresentationSumedh S. Hoskote, MBBS, Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD19 Electrolyte Abnormalities During Continuous Renal Replacement TherapySumedh S. Hoskote, MBBS, Fouad T. Chebib, MD, and Nathan J. Smischney, MD20 A Disease Masquerading as Septic ShockMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD21 A Respiratory InfectionKelly A. Cawcutt, MD, and Cassie C. Kennedy, MD22 Infection in a Patient With Chronic Myeloid LeukemiaMichelle Biehl, MD, Lisbeth Y. Garcia Arguello, MD, and Teng Moua, MD23 Torsades de PointesAndrea B. Johnson, APRN, CNP, and Thomas B. Comfere, MD24 The Kidneys Can See When the Eyes CannotSarah J. Lee, MD, MPH, and Floranne C. Ernste, MD25 An Upper Airway CrisisMazen O. Alqadi, MBBS, and Mark T. Keegan, MD26 An Endocrine EmergencyW. Brian Beam, MD, and Ognjen Gajic, MD27 Acute Renal FailureMazen O. Alqadi, MBBS, and Amy W. Williams, MD28 Hypoxia and Diffuse Pulmonary Infiltrates in an Immunosuppressed Patient With VasculitisMatthew E. Nolan, MD, and Ulrich Specks, MD29 A Paraneoplastic SyndromeAndres Borja Alvarez, MD, and Emir Festic, MD30 Complicated Diarrheal IllnessArjun Gupta, MBBS, and Sahil Khanna, MBBS31 Persistent Shock With Hemorrhagic ComplicationsSangita Trivedi, MBBS, Rahul Kashyap, MBBS, and Michael E. Nemergut, MD, PhD32 An Unusual Presentation of Disseminated HistoplasmosisLokendra Thakur, MBBS, and Vivek Iyer, MD, MPH33 Complications of CirrhosisRaina Shivashankar, MD, and Purna C. Kashyap, MBBS34 A Curious Case of Abdominal PainPramod K. Guru, MBBS, Abbasali Akhoundi, MD, and Kianoush B. Kashani, MD35 Weakness in the Intensive Care UnitChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD36 Altered Mental Status and RigidityChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD37 OverdoseArjun Gupta and Sahil Khanna, MBBS38 An Unusual EncephalopathyRudy M. Tedja, DO, and Teng Moua, MD39 Brain DeathDereddi Raja S. Reddy, MD, Sudhir V. Datar, MBBS, and Eelco F. M. Wijdicks, MD, PhD40 Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress SyndromeKelly A. Cawcutt, MD, Craig E. Daniels, MD, and Gregory J. Schears, MD41 Chest Pain and Respiratory DistressDavid W. Barbara, MD, and William J. Mauermann, MD42 Portal Venous GasBrendan T. Wanta, MD, Arun Subramanian, MBBS, and Mark T. Keegan, MD43 Acute Respiratory Failure in a Stem Cell Transplant PatientChanning C. Twyner, MD, and Arun Subramanian, MBBS44 Flail ChestSumedh S. Hoskote, MBBS, John C. O'Horo, MD, MPH, and Craig E. Daniels, MD45 ComaMuhammad A. Rishi, MBBS, Sarah J. Lee, MD, MPH, and Teng Moua, MD46 A Bleeding DisorderJohn C. O'Horo, MD, MPH, and Philippe R. Bauer, MD, PhD47 A Cardiopulmonary Resuscitation ComplicationJohn C. O'Horo, MD, Sumedh S. Hoskote, MBBS, and Hiroshi Sekiguchi, MD48 Severe Influenza ADSAssociated Acute Respiratory Distress SyndromeRudy M. Tedja, DO, and Craig E. Daniels, MD49 Severe Chest PainRonaldo A. Sevilla Berrios, MD, and R. Thomas Tilbury, MD50 A More Frequent Airway EmergencyShihab H. Sugeir, MD, and Francis T. Lytle, MDSection II: Questions and Answers Questions Answers

Rahul Kashyap, MBBS., Rochester, Minnesota Dr. Rahul Kashyap is a physician researcher in the Division of Critical Care Medicine (within the Department of Anesthesiology, Mayo Clinic, Rochester, MN) and holds academic rank of Assistant Professor of Anesthesiology in Mayo Clinic College of Medicine. He obtained his medical degree from Medical University at Madurai Medical College, Madurai, India. Before moving to Rochester, Dr. Kashyap did his residency in Emergency Medicine at All India Institute of Medial Sciences (AIIMS), New Delhi, India. He has co-authored 25 peer-reviewed journal articles with over 260 citations.

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• Table of ContentsSection I: Cases1 Dyspnea and EdemaBlair D. Westerly, MD, and Hiroshi Sekiguchi, MD2 An Electrical ProblemRonaldo A. Sevilla-Berrios, MD, and Erica D. Wittwer, MD, PhD3 HypertensionSrikant Nannapaneni, MBBS, Lisbeth Y. Garcia Arguello, MD, and John G. Park, MD4 A Rare Cause of Liver FailureAlice Gallo de Moraes, MD, Sarah A. Narotzky, MD, and Teng Moua, MD5 Shortness of BreathCarlos J. Racedo Africano, MD, and Darlene R. Nelson, MD6 Acute Respiratory Failure in a Young SmokerMazen O. Alqadi, MBBS, and Bernardo J. Selim, MD7 ShockMazen O. Alqadi, MBBS, John C. O'Horo, MD, MPH, and Larry M. Baddour, MD8 Diffuse Abdomninal Pain in a 45-Year-Old WomanMazen O. Alqadi, MBBS, Jasleen R. Pannu, MBBS, and Teng Moua, MD9 An Over-the-Counter IntoxicationRonaldo A. Sevilla-Berrios, MD, and Kianoush Kashani, MD10 An Over-the-Counter OverdoseMazen O. Alqadi, MBBS, Sarah B. Nelson, PharmD, RPh, and Bernardo J. Selim, MD11 A PostDSMyocardial Infarction ComplicationMazen O. Alqadi, MBBS, and Eric L. Bloomfield, MD12 Massive HemoptysisMazen O. Alqadi, MBBS, and Mark E. Wylam, MD13 Hypotension Following a Broken HipJoseph H. Skalski, MD, and Daryl J. Kor, MD14 Extubation FailureMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD15 Hypotension and Right-Sided Heart Failure After Left PneumonectomyMisty A. Radosevich, MD, W. Brian Beam, MD, and Onur Demirci, MD16 More Than Meets the EyeSumedh S. Hoskote, MBBS, Shivani S. Shinde, MBBS, and Nathan J. Smischney, MD17 Reverse Apical Ballooning Syndrome Due to Clonidine WithdrawalPramod K. Guru, MBBS, Dereddi Raja S. Reddy, MD, and Nandan S. Anavekar, MB, BCh18 A Well-Known Cardiac Condition With a Unique PresentationSumedh S. Hoskote, MBBS, Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD19 Electrolyte Abnormalities During Continuous Renal Replacement TherapySumedh S. Hoskote, MBBS, Fouad T. Chebib, MD, and Nathan J. Smischney, MD20 A Disease Masquerading as Septic ShockMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD21 A Respiratory InfectionKelly A. Cawcutt, MD, and Cassie C. Kennedy, MD22 Infection in a Patient With Chronic Myeloid LeukemiaMichelle Biehl, MD, Lisbeth Y. Garcia Arguello, MD, and Teng Moua, MD23 Torsades de PointesAndrea B. Johnson, APRN, CNP, and Thomas B. Comfere, MD24 The Kidneys Can See When the Eyes CannotSarah J. Lee, MD, MPH, and Floranne C. Ernste, MD25 An Upper Airway CrisisMazen O. Alqadi, MBBS, and Mark T. Keegan, MD26 An Endocrine EmergencyW. Brian Beam, MD, and Ognjen Gajic, MD27 Acute Renal FailureMazen O. Alqadi, MBBS, and Amy W. Williams, MD28 Hypoxia and Diffuse Pulmonary Infiltrates in an Immunosuppressed Patient With VasculitisMatthew E. Nolan, MD, and Ulrich Specks, MD29 A Paraneoplastic SyndromeAndres Borja Alvarez, MD, and Emir Festic, MD30 Complicated Diarrheal IllnessArjun Gupta, MBBS, and Sahil Khanna, MBBS31 Persistent Shock With Hemorrhagic ComplicationsSangita Trivedi, MBBS, Rahul Kashyap, MBBS, and Michael E. Nemergut, MD, PhD32 An Unusual Presentation of Disseminated HistoplasmosisLokendra Thakur, MBBS, and Vivek Iyer, MD, MPH33 Complications of CirrhosisRaina Shivashankar, MD, and Purna C. Kashyap, MBBS34 A Curious Case of Abdominal PainPramod K. Guru, MBBS, Abbasali Akhoundi, MD, and Kianoush B. Kashani, MD35 Weakness in the Intensive Care UnitChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD36 Altered Mental Status and RigidityChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD37 OverdoseArjun Gupta and Sahil Khanna, MBBS38 An Unusual EncephalopathyRudy M. Tedja, DO, and Teng Moua, MD39 Brain DeathDereddi Raja S. Reddy, MD, Sudhir V. Datar, MBBS, and Eelco F. M. Wijdicks, MD, PhD40 Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress SyndromeKelly A. Cawcutt, MD, Craig E. Daniels, MD, and Gregory J. Schears, MD41 Chest Pain and Respiratory DistressDavid W. Barbara, MD, and William J. Mauermann, MD42 Portal Venous GasBrendan T. Wanta, MD, Arun Subramanian, MBBS, and Mark T. Keegan, MD43 Acute Respiratory Failure in a Stem Cell Transplant PatientChanning C. Twyner, MD, and Arun Subramanian, MBBS44 Flail ChestSumedh S. Hoskote, MBBS, John C. O'Horo, MD, MPH, and Craig E. Daniels, MD45 ComaMuhammad A. Rishi, MBBS, Sarah J. Lee, MD, MPH, and Teng Moua, MD46 A Bleeding DisorderJohn C. O'Horo, MD, MPH, and Philippe R. Bauer, MD, PhD47 A Cardiopulmonary Resuscitation ComplicationJohn C. O'Horo, MD, Sumedh S. Hoskote, MBBS, and Hiroshi Sekiguchi, MD48 Severe Influenza ADSAssociated Acute Respiratory Distress SyndromeRudy M. Tedja, DO, and Craig E. Daniels, MD49 Severe Chest PainRonaldo A. Sevilla Berrios, MD, and R. Thomas Tilbury, MD50 A More Frequent Airway EmergencyShihab H. Sugeir, MD, and Francis T. Lytle, MDSection II: Questions and Answers Questions Answers

Rahul Kashyap, MBBS., Rochester, Minnesota Dr. Rahul Kashyap is a physician researcher in the Division of Critical Care Medicine (within the Department of Anesthesiology, Mayo Clinic, Rochester, MN) and holds academic rank of Assistant Professor of Anesthesiology in Mayo Clinic College of Medicine. He obtained his medical degree from Medical University at Madurai Medical College, Madurai, India. Before moving to Rochester, Dr. Kashyap did his residency in Emergency Medicine at All India Institute of Medial Sciences (AIIMS), New Delhi, India. He has co-authored 25 peer-reviewed journal articles with over 260 citations.

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• Table of ContentsSection I: Cases1 Dyspnea and EdemaBlair D. Westerly, MD, and Hiroshi Sekiguchi, MD2 An Electrical ProblemRonaldo A. Sevilla-Berrios, MD, and Erica D. Wittwer, MD, PhD3 HypertensionSrikant Nannapaneni, MBBS, Lisbeth Y. Garcia Arguello, MD, and John G. Park, MD4 A Rare Cause of Liver FailureAlice Gallo de Moraes, MD, Sarah A. Narotzky, MD, and Teng Moua, MD5 Shortness of BreathCarlos J. Racedo Africano, MD, and Darlene R. Nelson, MD6 Acute Respiratory Failure in a Young SmokerMazen O. Alqadi, MBBS, and Bernardo J. Selim, MD7 ShockMazen O. Alqadi, MBBS, John C. O'Horo, MD, MPH, and Larry M. Baddour, MD8 Diffuse Abdomninal Pain in a 45-Year-Old WomanMazen O. Alqadi, MBBS, Jasleen R. Pannu, MBBS, and Teng Moua, MD9 An Over-the-Counter IntoxicationRonaldo A. Sevilla-Berrios, MD, and Kianoush Kashani, MD10 An Over-the-Counter OverdoseMazen O. Alqadi, MBBS, Sarah B. Nelson, PharmD, RPh, and Bernardo J. Selim, MD11 A PostDSMyocardial Infarction ComplicationMazen O. Alqadi, MBBS, and Eric L. Bloomfield, MD12 Massive HemoptysisMazen O. Alqadi, MBBS, and Mark E. Wylam, MD13 Hypotension Following a Broken HipJoseph H. Skalski, MD, and Daryl J. Kor, MD14 Extubation FailureMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD15 Hypotension and Right-Sided Heart Failure After Left PneumonectomyMisty A. Radosevich, MD, W. Brian Beam, MD, and Onur Demirci, MD16 More Than Meets the EyeSumedh S. Hoskote, MBBS, Shivani S. Shinde, MBBS, and Nathan J. Smischney, MD17 Reverse Apical Ballooning Syndrome Due to Clonidine WithdrawalPramod K. Guru, MBBS, Dereddi Raja S. Reddy, MD, and Nandan S. Anavekar, MB, BCh18 A Well-Known Cardiac Condition With a Unique PresentationSumedh S. Hoskote, MBBS, Muhammad A. Rishi, MBBS, and Nathan J. Smischney, MD19 Electrolyte Abnormalities During Continuous Renal Replacement TherapySumedh S. Hoskote, MBBS, Fouad T. Chebib, MD, and Nathan J. Smischney, MD20 A Disease Masquerading as Septic ShockMuhammad A. Rishi, MBBS, and Nathan J. Smischney, MD21 A Respiratory InfectionKelly A. Cawcutt, MD, and Cassie C. Kennedy, MD22 Infection in a Patient With Chronic Myeloid LeukemiaMichelle Biehl, MD, Lisbeth Y. Garcia Arguello, MD, and Teng Moua, MD23 Torsades de PointesAndrea B. Johnson, APRN, CNP, and Thomas B. Comfere, MD24 The Kidneys Can See When the Eyes CannotSarah J. Lee, MD, MPH, and Floranne C. Ernste, MD25 An Upper Airway CrisisMazen O. Alqadi, MBBS, and Mark T. Keegan, MD26 An Endocrine EmergencyW. Brian Beam, MD, and Ognjen Gajic, MD27 Acute Renal FailureMazen O. Alqadi, MBBS, and Amy W. Williams, MD28 Hypoxia and Diffuse Pulmonary Infiltrates in an Immunosuppressed Patient With VasculitisMatthew E. Nolan, MD, and Ulrich Specks, MD29 A Paraneoplastic SyndromeAndres Borja Alvarez, MD, and Emir Festic, MD30 Complicated Diarrheal IllnessArjun Gupta, MBBS, and Sahil Khanna, MBBS31 Persistent Shock With Hemorrhagic ComplicationsSangita Trivedi, MBBS, Rahul Kashyap, MBBS, and Michael E. Nemergut, MD, PhD32 An Unusual Presentation of Disseminated HistoplasmosisLokendra Thakur, MBBS, and Vivek Iyer, MD, MPH33 Complications of CirrhosisRaina Shivashankar, MD, and Purna C. Kashyap, MBBS34 A Curious Case of Abdominal PainPramod K. Guru, MBBS, Abbasali Akhoundi, MD, and Kianoush B. Kashani, MD35 Weakness in the Intensive Care UnitChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD36 Altered Mental Status and RigidityChristopher L. Kramer, MD, and Alejandro A. Rabinstein, MD37 OverdoseArjun Gupta and Sahil Khanna, MBBS38 An Unusual EncephalopathyRudy M. Tedja, DO, and Teng Moua, MD39 Brain DeathDereddi Raja S. Reddy, MD, Sudhir V. Datar, MBBS, and Eelco F. M. Wijdicks, MD, PhD40 Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress SyndromeKelly A. Cawcutt, MD, Craig E. Daniels, MD, and Gregory J. Schears, MD41 Chest Pain and Respiratory DistressDavid W. Barbara, MD, and William J. Mauermann, MD42 Portal Venous GasBrendan T. Wanta, MD, Arun Subramanian, MBBS, and Mark T. Keegan, MD43 Acute Respiratory Failure in a Stem Cell Transplant PatientChanning C. Twyner, MD, and Arun Subramanian, MBBS44 Flail ChestSumedh S. Hoskote, MBBS, John C. O'Horo, MD, MPH, and Craig E. Daniels, MD45 ComaMuhammad A. Rishi, MBBS, Sarah J. Lee, MD, MPH, and Teng Moua, MD46 A Bleeding DisorderJohn C. O'Horo, MD, MPH, and Philippe R. Bauer, MD, PhD47 A Cardiopulmonary Resuscitation ComplicationJohn C. O'Horo, MD, Sumedh S. Hoskote, MBBS, and Hiroshi Sekiguchi, MD48 Severe Influenza ADSAssociated Acute Respiratory Distress SyndromeRudy M. Tedja, DO, and Craig E. Daniels, MD49 Severe Chest PainRonaldo A. Sevilla Berrios, MD, and R. Thomas Tilbury, MD50 A More Frequent Airway EmergencyShihab H. Sugeir, MD, and Francis T. Lytle, MDSection II: Questions and Answers Questions Answers