Monday, November 5, 2007

VizD Radiograph Challenge Week of 11/5/07

A 42 year-old man presents to your ED with shortness of breath. His respiratory rate is 30 breaths per minute and saturation on room air is 80%. A CT scan is seen below.



(click on image to enlarge)
Questions:
1. What is the diagnosis?
2.What is the immediate treatment?
3. What is the clinical triad associated with this diagnosis?



Winner receives $5!
To submit your answer, please click on "comments" below. Though your answer won't post, I will have a record of it.
For more information about the VizD contest, please click here.

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.

8 comments:

Rory said...

Cardiac Tamponade, Pericardiocentecis, Beck's Triad...Muffled Heart Tones, Hypotension, JVD.

Cool cases... I've posted before so please pass the 5 bucks to the next poster...

THANKS.

João said...

1) Tension pneumotorax

2)Immediate thoracocenthesis

3)tachycardia, hypotension and mediastinal shift

taha said...

1-Pneumothorax
2-Chest tube insertion
3-decreased breath sounds, hypotension, jugular venous distension

taha said...

1-pneumothorax
2-chest tube insertion
3-decreased breath sounds, hypotension, jugular venous distension

Cristobal said...

tension pneumothorax

Cristobal said...

dx=tension pneumothorax

tx=needle thoracostomy (followed by definitive tube thoracostomy)

Triad:
-decreased breath sounds
-hypotension
-jugular venous distension

Anonymous said...

1-tension pneumothorax
2-Needle aspiration
3-decreased breath sounds, hypotension, jugular venous distension

Scottso said...

Tension pneumothorax
Needle thoracostomy in the 2nd ICS
Hypotension, jugular venous distention and decreased breath sounds