30 yom, came in for chestpain since 48hrs after pulling of h | Figure 1

strth

Registered Nurse

30 yom, came in for chestpain since 48hrs after pulling of his shirt. #Pneumothorax #Drainage #Tension-pneumothorax #Tension-pneumomediastinum? #Trachea

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Frontal view of the chest shows a large right pneumothorax with near complete collapse of the right lung (arrow). There are findings of tension pneumothorax with widening of the spaces between ribs on the right compared to the left and leftward deviation of the trachea. Tension pneumothorax is an emergent condition and can lead to rapid hemodynamic compromise. Findings of tension pneumothorax include contralateral mediastinal shift, widening of the space between ribs, and flattening of the ipsilateral hemidiaphragm. Tension pneumothorax can be treated with emergent needle decompression or chest tube placement.

#Tension-pneumothorax significant subcutaneous emphysema](https://app.figure1.com/case-detail/0e5b0489-4f47-45e4-b84c-cac78fbbf177)

Tension pneumothorax. Vitals stable, but on 100% FiO2](https://app.figure1.com/case-detail/23407d22-e71a-4536-870f-42eda7415624)

#Pneumothorax #Tension-pneumothorax](https://app.figure1.com/case-detail/2b111bc5-8896-4e97-a198-e5a93bd0990a)

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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?