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. Please drop your comments below :🗣️ Share your thoughts and write your comments with us : http://www.youtube.com/@Dr.AfshinT.AIn 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! If you find this case compelling, please like and share the video. 🔔 Subscribe for weekly medical mysteries: [http://www.youtube.com/@Dr.AfshinT.A]🎧 Available on :@Join us on TikTok : https://www.tiktok.com/@dr.a.t.a?_t=Z...@Join us on Telegram: https://t.me/MedicalCaseStudio@Join us on Podbean: https://www.podbean.com/user-6mx5pwTzDun3@Dr.AfshinT.A🗣️ Share your thoughts and write your comments with us : http://www.youtube.com/@Dr.AfshinT.A⏱️ 1:00 – 2:30🟦 CHAPTER 1: A Promising RecoveryHip surgery successPost-op mobility with walkerDischarge on apixaban and supportive medsLight music and uplifting tone⏱️ 2:30 – 4:00🟥 CHAPTER 2: The ReturnEmergency readmission 48 hrs laterSymptoms: confusion, diarrhea, weaknessHyponatremia, A-Fib, labs and vitalsICU transfer ordered by nephrologist⏱️ 4:00 – 5:30🟧 CHAPTER 3: The ICU SpiralSodium correction → brief improvementRespiratory distress, suspected pneumoniaSputum shows Candida, cultures negativeDialysis begins for worsening renal status⏱️ 5:30 – 6:30🟫 CHAPTER 4: From Oxygen to TubesIntubationBilateral effusions tapped, chest tubes insertedPneumothorax develops → surgical interventionPE suspicion leads to anticoagulation⏱️ 6:30 – 7:30🟪 CHAPTER 5: System BreakdownGI bleeding, thrombocytopeniaNo EGD due to instabilityFull-blown DIC diagnosisInotropes started for BP support⏱️ 7:30 – 8:30⬛ CHAPTER 6: Code BlueSevere bradycardia → Code Blue triggered30-minute resuscitation attemptDeclared dead at 08:00Somber tone, fading visuals⏱️ 8:30 – 9:30🔍 CHAPTER 7: What Went Wrong?No clear source of sepsisMultisystem organ failure or hidden complication?Ask viewers: What do you think? Leave your theory below.