Wednesday, August 27, 2008

Case Presentation

In honor of my USMLE Step 2 CK exam tomorrow, I thought I'd do a quick case presentation.

A 27-year old man is brought to the emergency department 1 hour after a boating accident. The man was climbing the mast to untagle his sail when he fell off, striking the edge of the boat before falling in the water. He says he feels "okay" now, although he describes mild right-sided chest "discomfort" when breathing in. Vital signs are stable. Exam reveals a tall, lean man in no apparent distress. There are bruises over his chest on the right. Auscultation reveals decreased breath sounds and hyperresonance on the right. Chest x-ray shows:

What is the diagnosis? (the answer is in the black box below)




Nemothorax

1 Comments:

Anonymous Anonymous said...

HA!!!! Ah, puns. Truly the pinnacle of human comedy.

But seriously, that actually made me laugh.

3:25 PM  

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