ICE 014: Pleuritic Pain
A 24 year old woman presents to ED with a 12 hour history of shortness of breath and left sided pleuritic chest pain. She has no significant past medical history and is on no regular medications. Her vital signs are normal.
Tag Pneumothorax
Pneumothorax Case 1
A 20 year old man presents with shortness of breath and pleuritic chest pain. What does this ultrasound show?
Lung Point Case 3
45 year old male presents with left sided chest pain after scuba diving. What does the ultrasound show? Tiny pneumothorax and lung point
Pneumothorax Case 5
A 36 year old woman presents with sharp left sided chest pain.
What do these clips of her left chest show?
Pneumothorax Case 2
A 16 year old woman presents with pleuritic chest pain and a slight sensation of dyspnoea. What does this ultrasound show?
Ultrasound Case 066
A 47 year old man falls 4m onto a wall, hitting his left chest wall. He is complaining of chest pain and you wonder whether there is a pneumothorax. Describe and interpret these scans
Pneumothorax CCC
Spontaneous – primary (no disease) and secondary (underlying lung disease)
Traumatic - non-iatrogenic and iatrogenic (barotrauma and procedure related)
Pneumothorax Case 4
A 32 year old man presents with a 4 day history of increasing right sided chest pain and associated shortness of breath.
Pneumothorax Case 3
A 31 year old male presents after what is thought to be a superficial penetrating chest wound. You perform an ultrasound. What does this show?
Lung ultrasound: Lung Point
In the presence of a pneumothorax the visceral and parietal pleural surfaces are separated. The point at which these two surfaces meet is known as the lung point
Lung ultrasound: Pneumothorax
A pneumothorax, an abnormal collection of gas in the pleural space, separating the parietal pleura of the chest wall from the visceral pleura of the lung.
Lung Point Case 4
A tall and thin 18 year old male presents with pleuritic chest pain and mild shortness of breath. What does the ultrasound show? Lung point