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…

Life in the Fast lane 150 thumb

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.