Spontaneous

Respiratory System


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S12_F1.jpg"}},{"insert":"\n\n"},{"insert":"The on-call room feels like a sauna on this unbearably hot midsummer\u0027s day. You wearily scarf down your lunch, imploring the clock to tick faster.\n\n\u0022Yet another tedious shift\u0022, you muse gloomily.\n\nAs if on cue, your beeper goes off. It is the emergency department.\n"}]}

1

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S12_F2.jpg"}},{"insert":"\n\n"},{"insert":"Nineteen-year-old Drake complains of a vague, pleuritic-type of chest pain, and a non-productive cough, which started suddenly while he was walking to a lecture.\n\nHe didn\u0027t give too much thought to it at first, but his girlfriend persuaded him to have it checked out.\n\nDrake has been symptomatic for around an hour now. The pain is constant, exacerbated by deep inspiration, and localized to the right side. There is no history of trauma, and he is not dyspneic.\n\nHe has never smoked, and his medical history is otherwise unremarkable.\n"}]}

2

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/S12_F3.jpg"}},{"insert":"\n\n"},{"insert":"Drake\u0027s vitals are as follows: blood pressure 118\/72 mmHg, pulse 74 bpm, respiratory rate 16 cycles\/min, SaO2 97%, and temperature 97.8 \u00b0F (36.6 \u00b0C).\n\nYou start examining him, to find that chest expansion is normal, but breath sounds are mildly reduced on the right side. A review of the other systems is unremarkable.\n\nHis chest x-ray shows a right-sided apical pneumothorax, with a rim of air measuring 1.5cm.\n"}]}

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