Concluded Case

Lung injury

A 22 yrs male patient having history of right side chest trauma 6 weeks ago, treated somewhere else for that by putting ICD in situ. Now presented with gradual onset of dyspnoea for last 1 week and having SPO2 on room air 90%. Spot the diagnosis and provisional diagnosis.

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Concluded answer

the patient was having traumatic right main bronchus occlusion. Relieved by brochoscopy and endobronchial surgery with ICD drainage. Patient improved at the time of discharge with almost normal right lung.

All Answers

Rt lower and mid zone are opaque Homogeneous opacity Trachea and whole mediastinum is pulled to rt chest ICD in situ Lt lung hyperinflated Post tapping collapsed lung Needs ventilation Broadspectrum antibiotics

Thanx dr Kute Ankush
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* Rt side lung collapse ( Hemothorax ) ** COVID 19 Infection ruled out to conclude otherwise , under present circumstances covid virus Infection is there. Treat as per protocols.

Thanks Dr Vipin Bihari Jain
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* RT.SIDE LUNG COLLAPSE.. AS A.. RESULT OF HEMOTHORAX.. * MEDIASTINAL ..PULLING..

Tnx Dr Ashok Leel sir
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It is rightsided hemothorax. Emergency drain requires

RT side haemothorax

Rt opaque hemithorax, tracheal and mediastinal pull towards right. ICD in situ. Rt sided depressed chest wall. Left sided hyperinflation. Possibly volume loss sec to old Infective sequelae. As per history, rt main broncheal obstruction needs to be considered.

Rt heamothorax And bpneumothorax. With collapse with mediadtinum pulling

SUGGESTIVE OF RT.. ., PNEUMOTHORAX/ HEMOTHORAX COLLAPSE

May be Right lung collapse is evident in x-ray??

D/D Plural effusion Pneumothorax

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