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"A Case of Recurrent Abdominal Pain"

 



 

Case of the Week 265


What's the most likely diagnosis?

  • 24 year-old with shooting pain in chest

  1. Atelectasis
  2. Pneumonia
  3. Chylothorax
  4. Hemothorax
  5. Congestive heart failure


Answer:

 


4. Hemothorax

 

 

More (Click Discussion Tab)


Hemothorax

  • Hemothorax is blood in the pleural cavity
    • Most often results from trauma to intrathoracic structures
  • Exact distinction between a “bloody pleural effusion” and a hemothorax is not well defined
    • Some use a fluid hematocrit >50% to define hemothorax
  • Delayed appearance of a hemothorax can occur from rupture of a chest-wall hematoma or delayed perforation of an intercostal artery by a rib fracture

More ...



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