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.
Tuesday, November 3, 2009
Out of the Frying Pan
The is the second part of a three part CXR case. Please see the previous case for the first radiograph. You initiate treatment for the patient and get a follow-up X-ray. Here's what you see.
ooh good answer! not what i was thinking of but certainly a possibility. there might be a hint of a costophrenic angle suggesting that it's not a pleural process, but it's on the differential. - Out of the Frying Pan
Reexpansion pulmonary edema occurs unilaterally after rapid expansion of a collapsed lung or rarely, from evacuation of pleural fluid >1L or removal of an obstructing tumor. Mortality rate is up to 20% and treatment is supportive. The pathophysiology is unknown.
Sources: UpToDate; ispub.com The Internet Journal of Anesthesiology.
Challenge: Explain.
is it a haemothorax compressing the left lung, which occurred as a result of the chest tube insertion?
ReplyDeleteooh good answer! not what i was thinking of but certainly a possibility. there might be a hint of a costophrenic angle suggesting that it's not a pleural process, but it's on the differential.
ReplyDelete-
Out of the Frying Pan
Reexpansion pulmonary edema occurs unilaterally after rapid expansion of a collapsed lung or rarely, from evacuation of pleural fluid >1L or removal of an obstructing tumor. Mortality rate is up to 20% and treatment is supportive. The pathophysiology is unknown.
Sources: UpToDate; ispub.com The Internet Journal of Anesthesiology.