Dr. Pravin Kumar Jha (Internal Medicine) needs a second opinion on this medical case.
Pt 14/M c/ o sudden onset (since 2hrs) of severe chest pain , swelling neck , sob, restlessness.
On Auscultation: tachycardia, creps& wheeze.
On palpation: crepitations over neck & chest wall.
K/c Rhinosinusitis ( with b/l tonsillitis) & DNS .
Cxr: b/l infiltration ( no pneumothorax)
ECHO ... Normal
ECG ..sinus tachycardia
Blood reports including covid .. awaiting.
No H/O recent medications/ drug abuse.
No fever & cough .
T/t started with bronchodilators ( including O2, nebulization)& Antibiotics+ Injection tramazac for pain.
.... breathlessness &pain... manage successfully.
What about for SUBCUTANEOUS EMPHYSEMA ??