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drshukla14

Mar 14 • 7 tweets • 4 min read

1/n #POCUS case - Pneumothorax. M/20, abrupt left pleuritic chest pain. Absent breath sound left side, hyper-resonant percussion. Absent Pleural sliding on #POCUS . No lung point found, consistent with clinical impression of large pneumothorax.

2/n Normal pleural sliding on #POCUS right anterior thorax

3/n therefore CXR was not a surprise -

4/n Pneumothorax aspirated with 7 Fr CVC catheter, until resistance to aspiration was felt. #POCUS shows return of pleural sliding and #lungpoint

5/n Appearance of lung point on M-mode - Alternating sea-shore and barcode signs

6/6 Observed for 4 hours, repeat #POCUS showed similar findings, CXR repeated, acceptable lung expansion, patient discharged home. ED LOS 5 h.

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