asmi
Forum Hero
Topics: 1043
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4 yr old male had motor vehicle accident .BP is normal ,PR normal,RR is 32 /min with grunting and retraction .Multiple bruises over the chest seen .
ABG shows PH 7.38 ,PCO2 34 ,PO2 66
CXR after 4 hrs shows diffuse right sided infiltration .
What is the diagnosis ??
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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i think of pulmonary contusion
Can anyone diff with myocardial contusion ?
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| dmnz
Forum Junior
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i agree with pul contusion- chest wall is pliable ,so no fracture occurs in 4 year old ,hence lung contusion is most common answer when no enzyme analysis and ECG findings are given.
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| crossingmyfingers
Forum Junior
Topics: 10
Posts: 41
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Myocardial contusion usually presents after sternal fracture. There is no such indication in the case. Moreoever, "white-out" presentation of lung on chest xray confirms pulmonary contusion.
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