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Case Reports
. 2015 Summer;19(3):e122-4.
doi: 10.7812/TPP/14-232.

Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report

Hilary Fh Beason  1 , Joshua E Markowitz  2
Affiliations
Case Reports

Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report

Hilary Fh Beason et al. Perm J. 2015 Summer.

Abstract

A previously healthy patient was seen in the Emergency Department for evaluation of a one-month history of cough and one-day history of hemoptysis. This case report, from a pulmonologist's perspective, includes a comprehensive review of the patient's clinical presentation and outcome, as well as a discussion of recurrent respiratory papillomatosis.

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Figures

Figure 1.
Figure 1.
Ultrasound of the neck. The white arrow indicates free air with posterior acoustic shadowing in the soft tissue of the neck. Free air is identified by the hyperechoic white spots. The white “M” indicates sternohyoid and sternothyroid muscles. The white “Thy” indicates the thyroid. The white “Tr” indicates the trachea.
Figure 2.
Figure 2.
Radiograph of the chest. The white arrow indicates free air in the soft tissues of the neck.
Figure 3.
Figure 3.
Computed tomography scan of the neck with contrast. The white arrow indicates free air in the prevertebral space.
See this image and copyright information in PMC

References

    1. American College of Emergency Physicians policy statement: emergency ultrasound guidelines [Internet] Dallas, TX: American College of Emergency Physicians; 2008. Oct, [cited 2015 May 8]. Available from: www.acep.org/WorkArea/linkit.aspx?LinkIdentifier=ID&ItemID=32878.
    1. Burgher SW, Tandy TK, Dawdy MR. Transvaginal ultrasonography by emergency physicians decreases patient time in the emergency department. Acad Emerg Med. 1998 Aug;5(8):802–7. DOI: http://dx.doi.org/10.1111/j.1553-2712.1998.tb02507.x. - DOI - PubMed
    1. Eckstein M, Henderson SO. Thoracic trauma. In: Marx J, Hockberger R, Walls R, et al., editors. Rosen’s emergency medicine: concepts and clinical practice. 7th ed. Vol. 1. Philadelphia, PA: Mosby; 2010. pp. 387–413.
    1. Park DR, Vallières E. Tumors and cysts of the mediastinum. In: Mason RJ, Broaddus VC, Martin T, et al., editors. Murray and Nadel’s textbook of respiratory medicine. 5th ed. Vol. 2. Philadelphia, PA: Saunders; 2010. pp. 1836–58.
    1. Zun LS, Singh A. Nausea and vomiting. In: Marx J, Hockberger R, Walls R, et al., editors. Rosen’s emergency medicine: concepts and clinical practice. 7th ed. Vol. 1. Philadelphia, PA: Mosby; 2010. pp. 149–58.

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