Pediatric Perplexity 005

RMB inhaled FB

A toddler’s respiratory distress is getting worse. He is wheezy but not responsive to bronchodilators. Could Swedish furniture be the cause?

Radiological Oddity #019

Radiological Oddity 019_2

There is something strange about this chest x-ray of a neonate who has just arrived in ICU from the OR. What is the oddity and what are the implications?

Are you Satisficed?

recent CXR_2

Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?

The Patient is Ballooning Up…

Chest radiograph 1

A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.

Not just pneumonia…

CXR_CN_12oct2009

A 30 year-old male presented with 24 hours of worsening respiratory distress, following a 5-day prodrome of cough, fever, diarrhoea, lethargy and malaise.

Clinical Case Interpretation

CXR_Oct_14_2009

A 50 year-old man required intubation for seizure control after he presented in status epilepticus. His past history is notable for a brain tumour resection 5 years previously. His post-intubation chest radiograph is shown.