History of Present Illness:
A teenager with a history of asthma is brought to the ER by parents for 2-3 hours of progressive shortness of breath inadequately relieved by home meds
Vital Signs & Physical Exam:
Vital signs and pulse ox were remarkable for.
On physical exam there was wheezing with accessory muscle use.
Initial Diagnostic Testing:
What is the most accurate CXR interpretation?
- A) Infiltrate
- B) Pneumothorax
- C) Hampton’s Hump
- D) Hyperinflation
- E) None of the above
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ANSWER:
- A) Infiltrate
- B) Pneumothorax
- C) Hampton’s Hump
- D) Hyperinflation
- E) None of the above – CORRECT – there is a large pneumomediastinum
1-Minute Consult on this topic:
NIH Stat Pearls on Subglottic Stenosis: Click HERE