21 y/o male with hx of previous PTX presents to the ED for evaluation of L sided chest pain x 3 days that developed while lifting a heavy box. Pt was seen by PMD then next day diagnosed w/musculoskeletal pain and given NSAIDS. The CP has not improved since initial presentation. The CP is made worse moving around, deep inspiration and laying down. Associated with a non-productive cough.
Constitutional: no fever, chills, trauma or generalized weakness
ENT: no URI sxs, no throat pain, no change in voice, no excessive drooling, no ear pain/discharge, no hearing changes.
Cardiovascular: See HPI. + no syncope , no palpitations, no peripheral edema
Respiratory: See HPI. no h/o asthma or COPD.
Gastrointestinal: No nausea, vomiting or diarrhea. no abdominal pain.
Musculoskeletal: No chest wall trauma. No neck pain, no back pain, no joint pain.
Integumentary: No rash or skin changes. no edema
Neurological: No headache, no dizziness, no visual changes, no focal weakness
Vitals: T 98.6F, HR 62 bpm, BP 114/56, RR 18, SpO2: 100%
General: well appearing, non-toxic male in no acute distress
Skin: skin warm, pink and dry. MMM. No rash to chest.no crepitus.
Neck: Neck supple.
Pulm: CTAB. Normal respiratory effort. No respiratory distress. No wheezes, stridor, rales or rhonchi. No retractions
CV: RRR, no M/R/G.
Abd: Soft, non-tender, non-distended. No rebound or guarding.
MSK: FROM of all extremities. No chest wall tenderness. No edema, erythema, cyanosis. Radial pulses equal and intact bilaterally.
- Based off of the images and videos seen above, what is your diagnosis? What are the various categories within this diagnosis?
- In image 1, how can you differentiate between normal and abnormal lung? What are these signs called?
- How do you obtain image 1? (Mode, Probe, Technique)
- In video 1, what is the name of this sign and what does this indicate if found during your scan?
- In video 2, what is the name of this sign and what does this indicate if found during your scan?