Emergency #6 – FLASHCARD

26-year-old male chest pain after fall from tree:

What do you see?

(1) Air density in the base of the neck and para-aortic region on the chest x-ray
(2) Confirmation of pneumomediastinum on chest CT
(3) Often due to alveolar rupture, also in deceleration trauma, but check for injuries of airways or upper GI tract
(4) In this case, there was no frank laceration of the bronchial tree on bronchoscopy, and an intact esophagus on endoscopy and esophagram (performed with iohexol)

2 thoughts on “Emergency #6 – FLASHCARD

  1. (1) Air density in the base of the neck and para-aortic region on the chest x-ray
    (2) Confirmation of pneumomediastinum on chest CT

    Like

  2. (1) Air density in the base of the neck and para-aortic region on the chest x-ray
    (2) Confirmation of pneumomediastinum on chest CT

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.