Nice CT image of a moderate sized left sided #pneumothorax. | Figure 1
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Nice CT image of a moderate sized left sided #pneumothorax. 68yo Male who fell from a ladder and fractured his humerus. CXR (seen in picture 2) did not reveal any obvious sign of pneumo. CT was done 1hr after CXR. Either the pneumo was well hidden on xray or it developed in that hour window. Nice example of why its a good idea to follow up with a CT after a trauma.
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pt had bifurcated ett for independent lung ventilation due to ards in left lung and asp. pna in right s/p head trauma. He eventually blew a tension pneumo and was placed on an osscilator after chest tubes x4, etc. etc. Classic tension pneumo xray
assault, tension pneumothorax, look how subtle the pneumo is on CXR, but the surgical emphysema and clinical findings (tender left thoracic wall) warrant CT. LESSON: Palpate that chest in a trauma setting!
*Surprising incidental finding on CT! 88yo male: CT performed after thoracentesis for Rt effusion associated w Rt pneumonia. I will give you the Rt effusion, the Rt lung infiltrates, Rt pneumo, even prior CABG w CAD. What else did we find?! I will post same images with arrows after discussion. π
19 yo male w recurrent pneumos. Presents w SOB. CXR reveals small Rt apical pneumo. Low dose unenhanced thorax CT nicely shows the apical subpleural blebs that we discussed in another recent pneumo case. Very common. If recurrent, easily surgically fixed with apical staples. Purely for show here. ππ
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?