Image: pneumomediastinum following sternutation after cocaine insufflation
Autor: | Mark Pucci, Fatemeh Rafati, Siu Li Boo |
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Rok vydání: | 2019 |
Předmět: |
Insufflation
medicine.medical_specialty Crepitus medicine.diagnostic_test business.industry Physical examination General Medicine Auscultation respiratory system 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Nasal septum Medical history 030212 general & internal medicine Pneumomediastinum Radiology medicine.symptom business Chest radiograph |
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 |
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