Triage: Asthma flare
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: HR 88, BP 128/77, RR 26, pulse ox 94%
Physical Exam: 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
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
- Emergency Medicine 1-Minute Consult, 5th edition
- A-to-Z EM Pharmacopoeia & Antibiotic Guide, 5th edition
- 8-in-1 Emergency Department Quick Reference, 5th edition
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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 best seen anterior to the heart on the lateral view
1-Minute Consult on this topic: CLICK HERE and scroll to page 322