scholarly journals Aurea diagnosis of pneumomediastinum. A case report

2020 ◽  
Vol 14 (3) ◽  
pp. 179-183
Author(s):  
Lucio Brugioni ◽  
Francesca De Niederhausern ◽  
Chiara Gozzi ◽  
Pietro Martella ◽  
Elisa Romagnoli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Chest Pain ◽  
Correct Diagnosis ◽  
Young Male ◽  
Differential Diagnoses ◽  
Diagnostic Process ◽  
Acute Aortic Syndrome ◽  
X Ray ◽  
Chest X Ray

Pericarditis and spontaneous pneumomediastinum are among the pathologies that are in differential diagnoses when a patient describes dorsal irradiated chest pain: if the patient is young, male, and long-limbed, it is necessary to exclude an acute aortic syndrome firstly. We present the case of a young man who arrived at the Emergency Department for chest pain: an echocardiogram performed an immediate diagnosis of pericarditis. However, if the patient had performed a chest X-ray, this would have enabled the observation of pneumomediastinum, allowing a correct diagnosis of pneumomediastinum and treatment. The purpose of this report is to highlight the importance of the diagnostic process.

scholarly journals Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
María Fernanda Ochoa-Ariza ◽  
Jorge Luis Trejos-Caballero ◽  
Cristian Mauricio Parra-Gelves ◽  
Marly Esperanza Camargo-Lozada ◽  
Marlon Adrián Laguado-Nieto
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Subcutaneous Emphysema ◽  
Respiratory Symptoms ◽  
Laboratory Tests ◽  
Young Patients ◽  
Clinical Suspicion ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs.Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution.Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis.Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.

scholarly journals Prospective Validation and Refinement of a Decision Rule to Obtain Chest X‐ray in Patients With Nontraumatic Chest Pain in the Emergency Department

2018 ◽  
Vol 25 (6) ◽  
pp. 650-656
Author(s):  
Case Newsom ◽  
Rebecca Jeanmonod ◽  
Wendy Woolley ◽  
Nirali Shah ◽  
Shellie Asher ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Decision Rule ◽  
X Ray ◽  
Chest X Ray

scholarly journals Sclerosing haemangioma of the lung: A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 33-36
Author(s):  
R Thapa ◽  
M Lakhey ◽  
U Shrestha
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Ct Scan ◽  
Left Lung ◽  
Lower Lobe ◽  
X Ray ◽  
Medical College ◽  
Bronchoscopic Biopsy ◽  
Chest X Ray ◽  
Sclerosing Haemangioma

Sclerosing haemangioma is a rare neoplasm of the lung which behaves in a clinically benign fashion. Herein, a case of sclerosing haemangioma of the lung in a 52 years old woman is reported. She presented with symptoms of cough and chest pain. Chest X-ray and CT scan showed a well-defined lesion in lower lobe of left lung. Bronchoscopic biopsy findings were suggestive of a carcinoid tumor. Later the tumor was removed by lobectomy. The distinctive constellation of histologic findings revealed it to be a sclerosing haemangioma. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7254 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.33-36

scholarly journals Delayed Upper-Airway Injury after Accidental Alkaline Ingestion

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Matthew F. Ryan ◽  
Mindy Fernandez ◽  
Karen Laauwe
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Upper Airway ◽  
Acute Injury ◽  
Upper Endoscopy ◽  
Shortness Of Breath ◽  
X Ray ◽  
Airway Injury ◽  
Chest X Ray ◽  
Alkaline Cleaning

A 62-year-old man presented to the emergency department one week after accidentally drinking an alkaline cleaning agent stored in unlabeled bottle. The day of the incident the patient presented to an outside hospital where he was admitted for an upper endoscopy of the esophagus which was found to be negative for acute injury. An initial chest X-ray taken the day of the incident was also found to be normal. After discharge the patient continued to have a sore throat and marked dysphagia which caused him to vomit repeatedly. Moreover, the patient began to develop chest pain with associated shortness of breath. We present a case of delayed airway injury and tracheal thickening and associated chest pain after alkaline ingestion and we discuss herein the pathophysiology and management of alkaline ingestions.

scholarly journals Case Report: Semilunar Sign of Trans-Mediastinal Herniation of Giant Bullae with Tension Hydropneumothrax

2020 ◽  
Vol 56 (4) ◽  
pp. 320
Author(s):  
Anastasia Tjan ◽  
I Made Dwija Putra Ayusta ◽  
Dewa Gde Mahiswara
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Severe Disease ◽  
Chest Ct ◽  
Fluid Level ◽  
Tube Insertion ◽  
X Ray ◽  
Giant Bulla ◽  
Chest X Ray ◽  
Giant Bullae

Herniation of bulla across mediastinum is rare, while transmediastinal giant bulla herniation accompanied with hydropneumothorax is even rarer. We report a case of an 18 years old male with dyspnea came to emergency department with trans-mediastinal giant bulla herniation, which appears as semilunar sign on chest x-ray, and right hydropneumothoraks. It appeared that the giant bulla also infected by the presence of air fluid level within. Semilunar sign was seen on the contralateral left mediastinum as the hallmark finding for trans-mediastinal herniation of bulla. Chest CT further confirms the diagnosis. Subsequently chest tube insertion and symptomatic relives were given, however the patient end up dead after 2 days of observation. Heart and lung compression by the lesions were the cause of this patient poor outcome. Bullous lung disease should be evaluated thoroughly and not underestimated since it could cause severe disease progression. 

scholarly journals Asymmetric pulmonary edema after scorpion sting: a case report

2008 ◽  
Vol 50 (6) ◽  
pp. 347-350 ◽  
Author(s):  
Ebrahim Razi ◽  
Elaheh Malekanrad
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Pulmonary Edema ◽  
Good Condition ◽  
Clinical Manifestations ◽  
Scorpion Sting ◽  
Scorpion Envenomation ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

A 12-year-old boy was referred with acute asymmetric pulmonary edema (APE) four-hour after scorpion sting to Emergency department. On admission, the main clinical manifestations were: dyspnea, tachypnea, and tachycardia. Chest x-ray revealed APE predominantly on the right hemithorax. The patient was treated with oxygen, intravenous frusemide and digoxin and discharged on the sixth hospital day in a good condition. This case report emphasizes the occurrence of asymmetric pulmonary edema after severe scorpion envenomation within few hours immediately after the sting.

Topiramate-Induced Chest Pain: A Case Report

2018 ◽  
Vol 32 (2) ◽  
pp. 236-239 ◽  
Author(s):  
Jared L. Ostroff ◽  
Jessica N. LeClair (Barnet) ◽  
Marissa L. Ostroff ◽  
Corey S. Laskey
Keyword(s):  
Adverse Effect ◽  
Case Report ◽  
Chest Pain ◽  
Probability Scale ◽  
Case Presentation ◽  
X Ray ◽  
Chest X Ray ◽  
Basic Metabolic Panel ◽  
Complete Blood Counts ◽  
Electrocardiogram Ecg

Background: Topiramate, an anticonvulsant used for prophylaxis of migraines and epilepsy, is commonly associated with adverse effects of cognitive dulling and fatigue. Chest pain is a potential adverse effect that to our knowledge has not been reported with the use of topiramate. Case Presentation: We present the case of a 38-year-old female with a seizure disorder who experienced chest pain after the first dose of topiramate. On day 1, she presented to the emergency department, was admitted, and over the course of 3 days had a chest X-ray, electrocardiogram (ECG), and echocardiogram, and her vitals, basic metabolic panel, complete blood counts, troponin, and d-dimer levels were monitored. The chest pain improved when the topiramate was held. No identifiable causes of chest pain were apparent, other than the topiramate. Discussion: The Naranjo probability scale was utilized to determine the causality of topiramate. The resulting score of 3 indicates that it is possible that the chest pain was due to the topiramate. Conclusion: This report demonstrates an example of a patient who experienced chest pain possibly caused by the initiation of topiramate. The objective of this case report is to increase the awareness of chest pain as an adverse effect of topiramate.

scholarly journals CPD - Chest pain and breathlessness

The Physician ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kassiani Iliadou
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Abdominal Discomfort ◽  
X Ray ◽  
Chest X Ray

Presentation A 74-year-old man presented to the emergency department with chest pain, breathlessness and abdominal discomfort for 2 days. His chest X-ray is given below. Can you identify the main findings in this X-ray?

scholarly journals Symptomatic Bochdalek Hernia in Adult: a Case Report

10.3823/2550 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Luis Eduardo Almeida de Souza ◽  
Karlla Lorena Dos Santos Anjos ◽  
Danielle Oliveira Sousa ◽  
Gabriel De Jesus da Fonseca Loureiro ◽  
Deborah Marques Centeno ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Congenital Malformation ◽  
Pharmacological Treatment ◽  
Chest Ct ◽  
Differential Diagnoses ◽  
Bochdalek Hernia ◽  
X Ray ◽  
Chest X Ray ◽  
Chest Ct Scan

Background: The congenital malformation of the posterolateral portion of the diaphragm is called the Bochdalek hernia, and was first described in 1948 by anatomy professor Bochdalek. The diagnosis in adults is extremely rare, being in the majority, an occasional finding in a chest x-ray. Case: The authors report a Bochdalek Hernia case in an adult pacient, with complaints of dyspnea and epigastralgia refractory to pharmacological treatment. The diagnosis was confirmed after a chest CT scan. Conclusion: Bochdalek hernias are extremely rare in adults, commonly diagnosed in childhood. The importance of recognition of its diagnosis is crucial, so it should be always among differential diagnoses in radiology, due to the range of complications that may affect the patients.

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