Discussion of interesting or befuddling cases related to pulmonary and critical care medicine.
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?
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....
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Early ARDS
Any other guesses before I draw an arrow on the xray?
There is a small catheter going into the stomach. Was that a Cook catheter gone awry?
Nope that's not it. He has some external leads; no lines.
looks like post obstructive pulmonary edema....
Parenchyma's normal...
Is that air in the right neck? Also, looks like there's focal narrowing iof the trachea.
I thought his trachea looks weird, that is why i thought it my be post obstructive pulmonary edema.....
Sub Q air R neck???
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....
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