| Two cases where bedside ultrasound was able to distinguish pulmonary bleb from pneumothorax. | |
| | |
MedLine Citation:
|
PMID: 16029833 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Distinguishing large pulmonary bullae from an acute pneumothorax can present a diagnostic challenge in the emergency setting. Plain film radiography of the chest may be inadequate to make the diagnosis. As the management of these two entities varies significantly, a clinical adjunct to aid diagnosis would prove useful. Using emergency department bedside ultrasound, we identified the typical "comet tailing" phenomenon of the movement of the lung tissue against the pleura during respiration, present in bullous disease but absent if the lung has collapsed. We present two patients, one with bullous emphysema and another with pneumothorax, in whom bedside ultrasound aided in making the diagnosis. |
| | |
Authors:
|
Barry C Simon; Lauri Paolinetti |
Related Documents
:
|
22591163 - Gps' decision-making - perceiving the patient as a person or a disease running title gp... 13957193 - Homosexual transmission of infectious syphilis. 20799513 - Risk of cancer among hispanics with aids compared with the general population in puerto... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Journal of emergency medicine Volume: 29 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2005 Aug |
Date Detail:
|
Created Date: 2005-07-20 Completed Date: 2005-12-14 Revised Date: 2010-04-01 |
Medline Journal Info:
|
Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 201-5 Citation Subset: IM |
Affiliation:
|
University of California-San Francisco, San Francisco, California, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blister / complications, radiography, ultrasonography* Diagnosis, Differential Emergency Medicine / methods Humans Male Middle Aged Pneumothorax / radiography, ultrasonography* Point-of-Care Systems* Pulmonary Emphysema / etiology, radiography, ultrasonography* |
| Comments/Corrections | |
Comment In:
|
J Emerg Med. 2010 Apr;38(3):384-5; author reply 385
[PMID:
19926433
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Recognition and characteristics of concussions in the emergency department population.
Next Document: Implementation of an emergency and disaster medical response training network in the Commonwealth of...