- Email: [email protected]
A Young Man with Chest Pain and Shortness of Breath
HOSTED BY
Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 3C (2016) 25–26 www.elsevier.com/locate/visj
A Young Man with Chest Pain and Shortness of Breath Derek Isenberg, MDa, Raluca Isenberg, MDb,n a
b
Crozer-Chester Medical Center, Chester, PA Thomas Jefferson University Hospital, Philadelphia, PA
Keywords: chest pain; shortness of breath; pneumothorax
Fig. Chest Radiograph.
n
Corresponding author. E-mail address: [email protected] (D. Isenberg).
http://dx.doi.org/10.1016/j.visj.2015.12.007 2405-4690/& 2016 Elsevier Inc. All rights reserved.
26
D. Isenberg, R. Isenberg / Visual Journal of Emergency Medicine 3C (2016) 25–26
Visual Case Discussion A 28-year-old male with no past medical history presented to the emergency department with right-sided chest pain and shortness of breath starting 1 h prior to arrival. The patient denied trauma or past episodes of chest pain. On arrival, the patient was in mild respiratory distress. Vitals signs were as followed: oral temperature 37.31C, heart rate 110 beats per minute, blood pressure 160/92, respiratory rate 24 breaths per minute, and oxygen saturation 98% on room air. Physical exam revealed a thin male in mild respiratory distress. Cardiac exam was a regular tachycardic rhythm without murmurs. Pulmonary exam revealed clear lungs on the left, absent breath sounds on the right. There was no tracheal deviation. There was no lower extremity edema, swelling, or calf tenderness. An electrocardiogram revealed sinus tachycardia without ST wave changes. A chest radiograph was obtained (Fig.). Appendix. Supplementary Materials Supplementary material cited in this article is available online at http://dx.doi.org/10.1016/j.visj.2015.12.007.
References [1] Inaba K, Branco BC, Eckstein, M, et al. Optimal positioning for emergent needle thoracostomy: a cadaver-based study. J Trauma 2011;71(5): 1099–103. [2] Baumann MH, Strange C, Heffner JE. Management of spontaneous pneumothorax. Chest 2001;119(2):590–602.
Available online at www.sciencedirect.com
Visual Journal of Emergency Medicine 3C (2016) 25–26 www.elsevier.com/locate/visj
A Young Man with Chest Pain and Shortness of Breath Derek Isenberg, MDa, Raluca Isenberg, MDb,n a
b
Crozer-Chester Medical Center, Chester, PA Thomas Jefferson University Hospital, Philadelphia, PA
Keywords: chest pain; shortness of breath; pneumothorax
Fig. Chest Radiograph.
n
Corresponding author. E-mail address: [email protected] (D. Isenberg).
http://dx.doi.org/10.1016/j.visj.2015.12.007 2405-4690/& 2016 Elsevier Inc. All rights reserved.
26
D. Isenberg, R. Isenberg / Visual Journal of Emergency Medicine 3C (2016) 25–26
Visual Case Discussion A 28-year-old male with no past medical history presented to the emergency department with right-sided chest pain and shortness of breath starting 1 h prior to arrival. The patient denied trauma or past episodes of chest pain. On arrival, the patient was in mild respiratory distress. Vitals signs were as followed: oral temperature 37.31C, heart rate 110 beats per minute, blood pressure 160/92, respiratory rate 24 breaths per minute, and oxygen saturation 98% on room air. Physical exam revealed a thin male in mild respiratory distress. Cardiac exam was a regular tachycardic rhythm without murmurs. Pulmonary exam revealed clear lungs on the left, absent breath sounds on the right. There was no tracheal deviation. There was no lower extremity edema, swelling, or calf tenderness. An electrocardiogram revealed sinus tachycardia without ST wave changes. A chest radiograph was obtained (Fig.). Appendix. Supplementary Materials Supplementary material cited in this article is available online at http://dx.doi.org/10.1016/j.visj.2015.12.007.
References [1] Inaba K, Branco BC, Eckstein, M, et al. Optimal positioning for emergent needle thoracostomy: a cadaver-based study. J Trauma 2011;71(5): 1099–103. [2] Baumann MH, Strange C, Heffner JE. Management of spontaneous pneumothorax. Chest 2001;119(2):590–602.