In this episode of City Hospital Dilemma, part of the Diagnosis: Unknown series by Medical Case Studio, we explore the fatal decline of 87-year-old Ms. Samina. What began as a routine hip surgery spiraled into respiratory failure, DIC, and cardiac arrest. Was it sepsis? A hidden embolism? Watch the full story and share your clinical insight.

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In this gripping episode, we unravel the perplexing case of an old patient whose recovery took a harrowing turn just 48 hours after being discharged home healthy. She returned with a catastrophic decline in the ICU. Through a captivating expert podcast, we explore the potential causes of her deterioration—was it sepsis, a clot, or an unforeseen complication? Join us as we delve into the haunting question that left her care team reeling. Don’t miss this intense medical mystery!

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⏱️ 1:00 – 2:30

🟦 CHAPTER 1: A Promising Recovery

Hip surgery success

Post-op mobility with walker

Discharge on apixaban and supportive meds

Light music and uplifting tone

⏱️ 2:30 – 4:00

🟥 CHAPTER 2: The Return

Emergency readmission 48 hrs later

Symptoms: confusion, diarrhea, weakness

Hyponatremia, A-Fib, labs and vitals

ICU transfer ordered by nephrologist

⏱️ 4:00 – 5:30

🟧 CHAPTER 3: The ICU Spiral

Sodium correction → brief improvement

Respiratory distress, suspected pneumonia

Sputum shows Candida, cultures negative

Dialysis begins for worsening renal status

⏱️ 5:30 – 6:30

🟫 CHAPTER 4: From Oxygen to Tubes

Intubation

Bilateral effusions tapped, chest tubes inserted

Pneumothorax develops → surgical intervention

PE suspicion leads to anticoagulation

⏱️ 6:30 – 7:30

🟪 CHAPTER 5: System Breakdown

GI bleeding, thrombocytopenia

No EGD due to instability

Full-blown DIC diagnosis

Inotropes started for BP support

⏱️ 7:30 – 8:30

⬛ CHAPTER 6: Code Blue

Severe bradycardia → Code Blue triggered

30-minute resuscitation attempt

Declared dead at 08:00

Somber tone, fading visuals

⏱️ 8:30 – 9:30

🔍 CHAPTER 7: What Went Wrong?

No clear source of sepsis

Multisystem organ failure or hidden complication?

Ask viewers: What do you think? Leave your theory below.