Thursday, March 16, 2006

Shortness of breath

This man has significant alcohol abuse and came in with severe shortness of breath. He was intubated after this chest xray.

What do you see and what next?

Answer here

10 comments - CLICK HERE to read & add your own!:

Anonymous said...

Early ARDS

Jennings said...

Any other guesses before I draw an arrow on the xray?

Baleeiro said...

There is a small catheter going into the stomach. Was that a Cook catheter gone awry?

Jennings said...

Nope that's not it. He has some external leads; no lines.

Krayem said...

looks like post obstructive pulmonary edema....

Jennings said...

Parenchyma's normal...

Jeff H said...

Is that air in the right neck? Also, looks like there's focal narrowing iof the trachea.

krayem said...

I thought his trachea looks weird, that is why i thought it my be post obstructive pulmonary edema.....

Anonymous said...

Sub Q air R neck???

Jennings said...

Good pick up in the narrowing; see above for the added picture.
He's now intubated and agitated. We think the agitation may be steroid-induced psychosis from the high dose steroids used to treat the upper airway edema. He also may be ETOH-withdrawing....