Chest X-ray in trauma patient - All is not what it seems...

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wow, just how did he/she managed to miss the right dg?
did the tube injured intestines?


2006/5/24, Krin135 at aol.com <Krin135 at aol.com>:
>
>
>
> In a message dated 24-May-06 07:42:57 Central Daylight Time,
> medkm at nus.edu.sg writes:
>
> Doctor  orders a chest X-ray (see enclosed CXR-before) and then makes a
> diagnosis  of *pneumohemothorax* secondary to left rib fractures (?!! -
> look
> at the  CXR and you'll see why the consternation). He goes ahead to insert
> a
> chest  tube and reports 'a gush of air and fluid coming out after the
> chest
> tube  was inserted'. Takes a second CXR and then 'freaks out', now
> calling  my
> surgical resident to review the patient (see CXR-after). Now of
> course,  the
> patient says "it hurts where the chest tube is,  doc!"
>
>
>
> Did he use a trocar technique to place that 'chest'  tube?
>
> Charles S. Krin, DO  FAAFP
>
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