in

EMsono Challenge

January 2008 EMsono Challenge

A 43-year-old female presents to the ED with sudden onset of dyspnea and left sided chest pain.  The patient tells you EMsono Ultrasound Challenge Emergency Medicineshe just underwent a TAH for uterine fibroids and was discharged home 5 days ago.  The patient denies other past medical history although she relates having a spontaneous pneumothorax when she was a teenager.  On examination, the patient is noted to be morbidly obese.  Her vitals are: BP 146/88,  HR 124,  RR  28,  T  37.0,  and Pulse Ox on Room Air  93%.  Her physical exam reveals clear lung fields with no evidence of JVD, edema, or stigmata of a DVT.  While waiting for a STAT portable chest radiograph to be performed, you perform a thoracic ultrasound to evaluate for possible pneumothorax.

Take the Challenge

Published Jan 09 2008, 12:26 AM by Rob
Filed under: ,

Comments

No Comments
Copyright © EMsono, LLC, 2006 - 2008. Emergency Medicine Ultrasound Education