Publication Date

2015

Journal Title

West J Emerg Med

Abstract

In patients presenting with severe dyspnea, several diagnostic challenges arise in distinguishing the diagnosis of pneumothorax versus several other pulmonary etiologies like bullous lung disease, pneumonia, interstitial lung disease, and acute respiratory distress syndrome. Distinguishing between large pulmonary bullae and pneumothorax is of the utmost importance, as the acute management is very different. While multiple imaging modalities are available, plain radiographs may be inadequate to make the diagnosis and other advanced imaging may be difficult to obtain. Ultrasound has a very high specificity for pneumothorax. We present a case where a large pulmonary bleb mimics the lung point and therefore inaccurately suggests pneumothorax.

Volume Number

16

Issue Number

3

Pages

447-9

Document Type

Article

EPub Date

2015/05/20

Status

Faculty

Facility

School of Medicine

Primary Department

Emergency Medicine

PMID

25987927

DOI

10.5811/westjem.2015.3.24809


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