A 70 yo presents to your ED intubated by medics. The patient was reportedly having worsening respiratory distress, was trialed on CPAP but failed, ultimately requiring intubation prior to ED arrival. A stat portable CXR is done and shown below. What's the diagnosis? (scroll down for answer)
Answer: Complete opacification of R hemithorax
24yo male with no significant PMH presents with acute onset sharp chest pain located in the anterior lower right chest. Pain started this morning while walking to the bathroom. The pain is pleuritic and worse with exertion. Xray is shown below. What’s the diagnosis? (scroll down for answer)
Answer: Spontaneous Pneumothorax
A 27 yo F presents to the ED with severe RLQ abdominal pain and vaginal bleeding.
A 66 yo M w/ history of prior duodenal perforation s/p numerous graham patch repairs and prior endovascular aortic repair presents to the ED w/ altered mental status and hypotension w/ a SBP in 60s. He is emergently intubated. RUSH exam is done and free fluid is noted in the abdomen. His post-intubation CXR is shown below. What's the diagnosis? (scroll down for answer)
A 61 yo F presents to the ED with neck pain after a fall down 15 steps.
A 27 yo M with a PMHx of osteosarcoma s/p R hip disarticulation and numerous lung metastases s/p L upper lobe wedge resection (1 year prior) presents to ED with DOE and "abnormal findings on outpatient CT scan." On ED arrival he is tachycardic w/ HR 135, RR is 18 and SpO2 is 93% on RA. On exam he has diminished but present breath sounds bilaterally. A CXR is obtained and shown below. What's the diagnosis? (scroll down for answer)
A 41 yo F presents to the ED with R ankle pain after a fall while playing outside in the snow.
A 27 yo F presents to the ED for a burn to her R forearm and during her visit mentions she has been having R sided neck pain x 1 week.
A 61 yo F w/ PMH HTN, DM, CKD presents to the ED w 1 month of progressively worsening dyspnea, cough and fatigue.
A 68 yo F presents to the ED s/p fall.
