All Journals from Paul Sseguya
A case of a 76-year-old lady has been admitted to the hospital with severe breathlessness, vomiting and upper abdominal pain for the last 2 days.
A 23 years old man attended hospital with a 10 days history of breathlessness, cough and fever. He was diagnosed to have Covid in the community.
In A&E, his SaO2 was 85% on 10 L oxygen. He was treated with tocilizumab and dexamethasone. FBC, kidney function and electrolytes were normal. He had a chest x-ray (Figure 1). What does the x ray show?
Ground Glass (GG) changes can be normally seen on a CT thorax if done during expiration. However, various conditions, both malignant and benign, may
also present as GG changes. The typical radiological manifestation of Covid pneumonitis is ground glass changes, and in this short review, we will look at other causes of ground glass changes on the CT thorax. These are usually non-specific, but knowledge of the causes of GG changes can help the respiratory physician plan further tests and reach a diagnosis.
This article is aimed to guide Junior doctors in the assessment and initial management of a patient presenting with breathlessness – a presentation very commonly seen in the wards and the emergency department.
This article outlines the most common causes of breathlessness in adults and what to look for on examining the patient. It also elaborates on the preliminary investigations required to make a diagnosis and the initial treatment that can be administered at the level of a Junior doctor.
Subcutaneous Emphysema is usually a benign, self-limiting condition that has various causes.
It can be quite distressing due to the facial swelling associated with it. If associated with pneumothorax, it can be effectively managed by large bore chest drain with or without suction.