May 2023 Critical Care Case of the Month: Not a Humerus Case

Abstract

No abstract available. Article truncated after 150 words. History of Present Illness: A 57-year-old woman with history of bone disease presented with a 3-day history of cough with thick yellow phlegm and progressive shortness of breath. No fever, chest pain or abdominal pain was noted. In the emergency department, she had SpO2 of 55% on room air, and then 90% on 15L NRB. Past Medical History/Social History/Family History • Bone disease since birth • Asthma • Severe scoliosis • Gastrointestinal reflux disease • Cholecystectomy • Spinal growth rods • Lives in adult care home, supportive family • No smoking or alcohol use • No illicit drug use • There is no family history of any bone disease Home Medications: • Albuterol MDI PRN • Alendronate 10mg daily • Budesonide nebulizer BID • Calcium carbonate BID • MVI daily • Lisinopril 10mg daily • Loratadine 10mg daily • Metformin 500mg BID • Metoprolol 12.5mg BID • Montelukast 10mg daily • Naprosyn PRN • Omeprazole 20mg daily • Simvastatin 10mg daily • Tizanidine PRN • Vitamin D 2000 IU daily Allergies: Cefazolin, PCN, Sulfa …

Keywords

• osteogenesis imperfecta
• scoliosis
• pneumonia
• ct scan
• bone density
• intubation
• endotracheal intubation
• hyperthermia
• fracture risk
• fiberoptic intubation