Seth J. Koenig

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We report the case of a 58-year-old man on chronic steroid therapy, who developed a rapidly progressive right upper lobe infiltrate/mass that extended into the right hilum. Respiratory failure necessitated endotracheal intubation. Broad spectrum antibiotics were initiated without clinical improvement and because of his immunosuppressive therapy(More)
Common neurological emergencies include overdose or withdrawal from illegal substance abuse, adverse effects of prescription medications, seizures, metabolic encephalopathy, infections and cerebrovascular accidents. Following a thorough clinical and radiologic assessment, a small group of patients escape definitive diagnosis and autoimmune encephalitides(More)
We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative.(More)
Lower extremity deep venous thrombosis is a common, serious, often under-recognized diagnosis in the critically ill patient. Its high association with pulmonary embolus necessitates both prompt diagnosis and constant surveillance. Point of care ultrasonography by the treating physician is gaining popularity because of its high accuracy and ease of(More)
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