0
Special Feature |

Picture of the Month—Quiz Case FREE

Lindsey Burghardt, MD; Mark I. Neuman, MD, MPH; Andrew J. Capraro, MD; Mark S. Volk, MD, DMD; Joshua Nagler, MD
[+] Author Affiliations

Author Affiliations: Division of Emergency Medicine (Drs Burghardt, Neuman, Capraro, and Nagler) and Department of Otolaryngology (Dr Volk), Children's Hospital Boston, Boston, Massachusetts.


SECTION EDITOR: SAMIR S. SHAH, MD, MSCE


Arch Pediatr Adolesc Med. 2011;165(9):865. doi:10.1001/archpediatrics.2011.141-a.
Text Size: A A A
Published online

An 11-month-old boy presented to the emergency department with a 24-hour history of barking cough and sudden onset of increased work of breathing. The family reported that his respiratory difficulty acutely worsened after a bout of forceful coughing shortly prior to arrival. On examination, the patient was ill appearing. His vital signs revealed a respiratory rate of 50 breaths/min and oxygen saturation of 76% on room air. The patient was in moderate respiratory distress, with grunting and retractions noted. There was no stridor. Auscultation of the chest revealed decreased breath sounds on the left. A portable chest radiograph was obtained (Figure 1).

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Chest radiograph demonstrates pneumomediastinum with subcutaneous emphysema. Additionally, there is near-complete collapse of the left lung with associated leftward mediastinal shift.

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Chest radiograph demonstrates pneumomediastinum with subcutaneous emphysema. Additionally, there is near-complete collapse of the left lung with associated leftward mediastinal shift.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics