Wednesday, January 18, 2012

What's wrong with this picture?

Despite all the sad and disheartening cases we've seen, we have also seen some great saves. Case in point -- we recently saw a 25 year old woman with AIDS who was admitted for PCP (a type of really bad pneumonia for you none medical types). She was initially given steroids and antibiotics with improvement, but this morning her breathing acutely worsened and she started becoming cyanotic before our eyes. The attending at the time diagnosed her clinically with a pneumothorax from a cyst rupture (later confirmed by CXR). 1 emergent needle decompression and bedside chest tube placement by the medicine intern later, she is now remarkably better and stable.

-f


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