Physical exam: Hypertension can be seen in 50% of the patients and can be due to catecholamine surge. Hypotension (in 20% patients) can be a result of excessive vagal tone, cardiac tamponade, or hypervolemia…
Xray Vision: Chest Pain Answer
Author: jwang
Xray Vision: Chest Pain
65 year old male presents with chest pain. He describes the pain as “pain”, but radiating to the back. Denies shortness of breath, nausea, or diaphoresis. You decide to get a CXR…and you see: please provide a read. What…
Xray Vision: Air Air Everywhere Answer
Here’s the image again: Congrats to Dr. Yohannes! The official read was: “pneumomediastinum and subcutaneous emphysema along the left chest wall and bilateral neck.” Pneumomediastinum Definition: free air within the mediastinum, which originates from the airways or the alveolar…
Xray Vision: Air Air Everywhere
28 year old male presents to the ED complaining of severe coughing, shortness of breath and chest pain. Denies fever or chills. But persistently complains of the severe coughing during history taking. States that only the last two days he…
Xray Vision: What Foreign Body? Answer
Here are the images again: that’s correct Dr. Bogoch! it is indeed a domino! The patient was brought in by staff members of the facility after questionable ingestion during a game of dominos. Ingested Foreign Body Foreign bodies…
Xray Vision: What Foreign Body?
35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient…
XRay Vision: ANSWER
Here are the images again. Official read of the CT head: left hemispheric subdural hematoma with significant subfalcine and likely uncal/downward transtentorial herniation. Traumatic Brain Injury Impairment of brain function as a result of mechanical force. The clinical…
Xray Vision: It All Falls Down
During one of your trauma shifts at Janus General, a 21 year old male is BIBEMS s/p fall onto his head. Patient was unresponsive at the scene without a gag reflex, but the patient could not be intubated in the…