Tension Pneumothorax 1
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0174-Tension Pneumothorax 1
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CA0174-Tension Pneumothorax 1
Case ReportHistory
Exam
Prior Study
Findings
Technique
The AP portable supine exam is of diagnostic quality.
Support Devices
The ETT is low but is above the carina.
There is a left subclavian venous line with the tip in the SVC.
The NG tube and feeding tube go below the GE junction and the NG tube tip is in the fundus.
The FT tip is not included.
Cardiomediastinum
There is some shift of the mediastinum towards the right.
There is no enlargement of the cardiac silhouette.
The left heart border is depressed downward and towards the right.
Vasculature
The aorta and right hilum are normal. The left hilum is obscured by the collapsed lung.
Lungs
The right lung is well inflated, but there is collapse of the left lung.
There is no airspace or interstitial disease in the right lung.
There is total collapse of the left lung from the large left pneumothorax.
The left hemidiaphragm is not depressed.
Pleura
There is a large left pneumothorax causing collapse of the left lung and shift of the mediastinum towards the right indicating tension.
Bones, Soft Tissues, Upper Abdomen
The bones, soft tissues, and upper abdomen are normal.
Impression
There is shift of the mediastinum and heart towards the right.
