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.
Monday, March 8, 2010
Deep End
Since I'm on radiology, this week will be x-ray week.
This patient was brought into the emergency department due to trauma.
Challenge: What's the diagnosis? What kind of trauma did the patient sustain?
This is the deep sulcus sign of a left sided pneumothorax. The costophrenic angle on the left side projects well below the costophrenic angle on the right side. This is due to accumulation of pleural gas in a subpulmonic location, outlining the anterior pleural reflection, the costophrenic sulcus, and the anterolateral border of the mediastinum. Also note that there is a bullet overlying the heart.
This patient was brought into the emergency department due to trauma.
Gunshot wound to the chest leading to Haemomediastinum?
ReplyDeletepneumothorax secondary to a bullet to the chest
ReplyDeleteyes, ptx 2/2 bullet
ReplyDelete-
Deep End
This is the deep sulcus sign of a left sided pneumothorax. The costophrenic angle on the left side projects well below the costophrenic angle on the right side. This is due to accumulation of pleural gas in a subpulmonic location, outlining the anterior pleural reflection, the costophrenic sulcus, and the anterolateral border of the mediastinum. Also note that there is a bullet overlying the heart.
Sources: UpToDate; LearningRadiology.