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)
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.


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...


João said...

1) Tension pneumotorax

2)Immediate thoracocenthesis

3)tachycardia, hypotension and mediastinal shift

taha said...

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

taha said...

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)

-decreased breath sounds
-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