Monday, July 2, 2012

Noncardiac


A 25 year old previously healthy man who smokes presents with acute onset dyspnea and pleuritic chest pain. This was unprovoked and occurred at rest. EKG is shown above.

Challenge: What is this noncardiac diagnosis?

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2 comments:

  1. RaviJuly 7, 2012 at 10:47 AM

    Plain pneumothorax

    ReplyDelete
  2. CraigJuly 12, 2012 at 6:17 PM

    yes - good call
    -
    Noncardiac

    This is a primary spontaneous pneumothorax of the left lung. There is low lateral precordial voltage on the EKG and a vertical or rightward axis shift.

    Sources: UpToDate; ECG Wave Maven.

    ReplyDelete

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