Image: pneumomediastinum following sternutation after cocaine insufflation

Autor: Mark Pucci, Fatemeh Rafati, Siu Li Boo
Rok vydání: 2019
Předmět:
Zdroj: Postgraduate medical journal. 95(1123)
ISSN: 1469-0756
Popis: A 31-year-old man, with no significant medical history, developed sudden onset central chest pain radiating across the upper chest wall and into the neck following sternutation (sneezing). There had been a preceding history of cocaine abuse by insufflation. On clinical examination, there was ulcerated nasal septum, palpable crepitus in the supraclavicular fossae, normal heart sounds and equal air entry to both lungs on auscultation. His chest radiograph demonstrated bilateral supraclavicular surgical emphysema and pneumomediastinum (figure 1 …
Databáze: OpenAIRE