Challenge: In the wording of the USMLE Step 2 exam, what is your first step in management?Image is shown under Creative Commons Attribution ShareAlike 2.5 License.
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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1 comment:
Dextrocardia
In a tension pneumothorax, the intrapleural pressure exceeds atmospheric pressure in expiration creating a one-way valve. Here, the absence of lung markings on the left, the tracheal deviation, and the displaced cardiac silhouette all suggest tension pneumothorax. Note, tension pneumothorax should be a clinical diagnosis, not a radiologic one. Treatment is chest tube (tube thoracostomy).
Sources: UpToDate; Wikipedia.
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