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Bubbles under my skin

Discussion in 'Spot Diagnosis' started by u4534590, Jan 8, 2013.

  1. u4534590

    u4534590 Active member

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  2. bb100

    bb100 Bronze Member

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    plate screw fixation( on the left humerus)+subcutanouse emphysema( air in the extrathoracic soft tissue on the left side) +pneumomediastinum
     

  3. soha azab

    soha azab Famous Member

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    surgical emphysema
     

  4. dr.angela

    dr.angela Bronze Member

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    Pneumomediastinum
     

  5. neo_star

    neo_star Moderator

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    The subcutaneous emphysema is clear, as pointed out by bb100, but i can't quite discern the pneumomediastinum. What may seem to be pneumomediastinum could well be an artifact...so, i urge u4534590 to kindly point out the positive findings ( other than the surgical fixation ) and a little hx / background of the trauma ( if u don't mind ).
     

  6. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Pneumomediastinum.
     

  7. u4534590

    u4534590 Active member

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    Hi Neostar, this man was hit in the back with the butt of a shot gun. Clinically he had a couple of broken ribs but its hard to make this out on film. As you said the surgical emphysema is clear which is why in posted :) The radiologist didn't report a pneumomediastinum - I looked up his report today.

    Hope this helps! :)
     

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