Foundations Case Presentation
Foundations I Course:
Case 90
Presentation Author: Dr. Marshall Howell
Presentation Editor: Dr. E. Liang Liu
Last Revised: Fall 2024
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Case Home Base
ECG
Labs
X-Ray
CT
US
Critical Actions
Initial Vitals
Repeat A
Repeat B
Teaching
29 y/o M presents with shortness of breath and stab wound to chest
Initial Presentation
HR: 118 BP: 75/38 RR: 30 T: 37 °C
Sat: 89% on RA Wt: 100 kg
29 yo M presents with shortness of breath and stab wound to chest
Reevaluation A
HR: 95 BP: 115/78 RR: 28
Sat: 95% on NRB
29 yo M presents with shortness of breath and stab wound to chest
Reevaluation B
HR: 136 BP: 60/palp RR: 40
Sat: 82% on RA
29 yo M presents with shortness of breath and stab wound to chest
Lab Results
ECG
Sinus tachycardia, no evidence of ischemia
US - B Mode
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
Right Thorax
US
M Mode
Right Thorax
Left Thorax
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
US
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
Courtesy of E. Liang Liu, MD
CXR�(fig 90.4)
CT
Radiology: “Is this patient stable enough for CT?”
Case Diagnosis:
Primary: Tension Pneumothorax
Secondary: Penetrating Chest Trauma, Hemothorax
Critical Actions
Tension Pneumothorax
Clinical Diagnosis
Courtesy of E. Liang Liu, MD
Chest Tube Placement
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Management
References
Foundations Case #90
Case Author(s): Dr. Dana Loke
Ultrasound Content: Dr. Rachel Haney, Dr. Sierra Beck
Case Editors: Dr. Kristen Grabow Moore
Additional References: