Limits...
Pneumomediastinum due to barotrauma

Lau JTL - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumomediastinum due to barotrauma

History: 21 y.o. man presented to the Emergency Department with complaints of nausea and vomiting with blood tinged sputum x2 days. Per patient, N/V started after eating Mexican food, associated with diarrhea; and, after multiple episodes of retching, he noticed some blood tinged emesis. He also complains of difficulty swallowing, talking, and neck fullness. Denies chest pain or SOB, prior sore throat or URI symptoms, and afebrile at home.

Findings: » CXR and neck radiographs with neck subcutaneous emphysema and significant pneumomediastinum. The lungs are otherwise clear. No pneumothorax. » Single contrast swallow study is normal. No contrast extravasation.

Ddx: • Booerhave’s syndrome • Asthma or other conditions leading to alveolar rupture • Bowel rupture • Malignancy • Trauma

Dxhow: Diagnosis of exclusion with contrast swallow study excluding esophogeal perforation.

Exam: Appears well developed, well nourished. Appears to be in mild discomfort. HEENT: Normocephalic. Supple without masses; diffuse sub cut air appreciated throughout neck and upper chest/back. No lymphadenopathy. Chest: No surgical/traumatic scars evident Lungs: Clear to auscultation bilaterally; subcutaneous emphysema/crackles noted CV: Regular rate, no murmurs, rubs or gallops. No JVD. Abd: Soft, non-tender, non-distended, hyperactive bowel sounds

No MeSH data available.


Frontal and lateral radiographs of the chest and neck demostrate air density tracking within the mediastinal soft tissues as well as the subcutaneous and deep soft tissues of the neck.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1391&req=5

MPX1391_synpic55216: Frontal and lateral radiographs of the chest and neck demostrate air density tracking within the mediastinal soft tissues as well as the subcutaneous and deep soft tissues of the neck.


Pneumomediastinum due to barotrauma

Lau JTL - MedPix (2011)

Frontal and lateral radiographs of the chest and neck demostrate air density tracking within the mediastinal soft tissues as well as the subcutaneous and deep soft tissues of the neck.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1391&req=5

MPX1391_synpic55216: Frontal and lateral radiographs of the chest and neck demostrate air density tracking within the mediastinal soft tissues as well as the subcutaneous and deep soft tissues of the neck.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pneumomediastinum due to barotrauma

History: 21 y.o. man presented to the Emergency Department with complaints of nausea and vomiting with blood tinged sputum x2 days. Per patient, N/V started after eating Mexican food, associated with diarrhea; and, after multiple episodes of retching, he noticed some blood tinged emesis. He also complains of difficulty swallowing, talking, and neck fullness. Denies chest pain or SOB, prior sore throat or URI symptoms, and afebrile at home.

Findings: » CXR and neck radiographs with neck subcutaneous emphysema and significant pneumomediastinum. The lungs are otherwise clear. No pneumothorax. » Single contrast swallow study is normal. No contrast extravasation.

Ddx: • Booerhave’s syndrome • Asthma or other conditions leading to alveolar rupture • Bowel rupture • Malignancy • Trauma

Dxhow: Diagnosis of exclusion with contrast swallow study excluding esophogeal perforation.

Exam: Appears well developed, well nourished. Appears to be in mild discomfort. HEENT: Normocephalic. Supple without masses; diffuse sub cut air appreciated throughout neck and upper chest/back. No lymphadenopathy. Chest: No surgical/traumatic scars evident Lungs: Clear to auscultation bilaterally; subcutaneous emphysema/crackles noted CV: Regular rate, no murmurs, rubs or gallops. No JVD. Abd: Soft, non-tender, non-distended, hyperactive bowel sounds

No MeSH data available.