Shortness of breath and unexpected imaging findings
The differential diagnosis for this patient included pneumonia, tuberculosis, pneumothorax, pleural effusion, pericardial effusion, and lung cancer. A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1]...
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Veröffentlicht in: | The American journal of emergency medicine 2016-05, Vol.34 (5), p.938.e5-938.e6 |
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container_title | The American journal of emergency medicine |
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creator | Berkowitz, Rachel Mangan, James Mahal, Jacqueline Siadecki, Sebastian D. Rose, Gabriel Sunderwirth, Ramona Cramer, Kyle Meyers, Brian K. Oliveira, Carlos Saul, Turandot |
description | The differential diagnosis for this patient included pneumonia, tuberculosis, pneumothorax, pleural effusion, pericardial effusion, and lung cancer. A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1] but, more interestingly, also showed cardiac activity (Fig. 1). The result is ipsilateral shift of intrathoracic structures, loss of lung volume, limitation of chest wall excursion, and a restrictive pattern of lung physiology [2-4]. |
doi_str_mv | 10.1016/j.ajem.2015.09.042 |
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A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1] but, more interestingly, also showed cardiac activity (Fig. 1). The result is ipsilateral shift of intrathoracic structures, loss of lung volume, limitation of chest wall excursion, and a restrictive pattern of lung physiology [2-4].</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2015.09.042</identifier><identifier>PMID: 26584562</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Dyspnea - etiology ; Emergency medical care ; Family medical history ; Female ; Fibrosis - complications ; Fibrosis - diagnosis ; Humans ; Lung cancer ; Middle Aged ; Ostomy ; Pleura - diagnostic imaging ; Pleura - pathology ; Pleural Diseases - complications ; Pleural Diseases - diagnosis ; Radiography ; Spine ; Tuberculosis ; Ultrasonography</subject><ispartof>The American journal of emergency medicine, 2016-05, Vol.34 (5), p.938.e5-938.e6</ispartof><rights>2015 Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c405t-b0c68088e812567c08a1de8dd676318acd86ddd4b77cb97a990d282a68efa9f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1785128715?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72341</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26584562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berkowitz, Rachel</creatorcontrib><creatorcontrib>Mangan, James</creatorcontrib><creatorcontrib>Mahal, Jacqueline</creatorcontrib><creatorcontrib>Siadecki, Sebastian D.</creatorcontrib><creatorcontrib>Rose, Gabriel</creatorcontrib><creatorcontrib>Sunderwirth, Ramona</creatorcontrib><creatorcontrib>Cramer, Kyle</creatorcontrib><creatorcontrib>Meyers, Brian K.</creatorcontrib><creatorcontrib>Oliveira, Carlos</creatorcontrib><creatorcontrib>Saul, Turandot</creatorcontrib><title>Shortness of breath and unexpected imaging findings</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The differential diagnosis for this patient included pneumonia, tuberculosis, pneumothorax, pleural effusion, pericardial effusion, and lung cancer. A view of the right lung base in the midaxillary line showed fluid above the diaphragm and a "spine sign" suggestive of pleural effusion [1] but, more interestingly, also showed cardiac activity (Fig. 1). The result is ipsilateral shift of intrathoracic structures, loss of lung volume, limitation of chest wall excursion, and a restrictive pattern of lung physiology [2-4].</description><subject>Dyspnea - etiology</subject><subject>Emergency medical care</subject><subject>Family medical history</subject><subject>Female</subject><subject>Fibrosis - complications</subject><subject>Fibrosis - diagnosis</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Middle Aged</subject><subject>Ostomy</subject><subject>Pleura - diagnostic imaging</subject><subject>Pleura - pathology</subject><subject>Pleural Diseases - complications</subject><subject>Pleural Diseases - diagnosis</subject><subject>Radiography</subject><subject>Spine</subject><subject>Tuberculosis</subject><subject>Ultrasonography</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwBxhQJBaWBNuJH5FYUMVLqsQAzJZj37SJWqfYCYJ_j6MWBgams3zn6N4PoXOCM4IJv24z3cImo5iwDJcZLugBmhKW01QSQQ7RFIucpVwwMUEnIbQYE1Kw4hhNKGeyYJxOUf6y6nzvIISkq5PKg-5XiXY2GRx8bsH0YJNmo5eNWyZ142zMcIqOar0OcLbPGXq7v3udP6aL54en-e0iNQVmfVphwyWWEiShjAuDpSYWpLVc8JxIbazk1tqiEsJUpdBliS2VVHMJtS5rms_Q1W5367v3AUKvNk0wsF5rB90QFBGSUlKIvIjo5R-07Qbv4nUjxQiVIoqZIbqjjO9C8FCrrY_P-S9FsBqVqlaNStWoVOFSRaWxdLGfHqoN2N_Kj8MI3OwAiC4-GvAqmAacAdv4KFDZrvlv_xvQ_4Xq</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Berkowitz, Rachel</creator><creator>Mangan, James</creator><creator>Mahal, Jacqueline</creator><creator>Siadecki, Sebastian D.</creator><creator>Rose, Gabriel</creator><creator>Sunderwirth, Ramona</creator><creator>Cramer, Kyle</creator><creator>Meyers, Brian K.</creator><creator>Oliveira, Carlos</creator><creator>Saul, Turandot</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Shortness of breath and unexpected imaging findings</title><author>Berkowitz, Rachel ; 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subjects | Dyspnea - etiology Emergency medical care Family medical history Female Fibrosis - complications Fibrosis - diagnosis Humans Lung cancer Middle Aged Ostomy Pleura - diagnostic imaging Pleura - pathology Pleural Diseases - complications Pleural Diseases - diagnosis Radiography Spine Tuberculosis Ultrasonography |
title | Shortness of breath and unexpected imaging findings |
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