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Imaging Quiz Case 2
James A. Hutcheson, MD;
Charles Bower, MD
Little Rock, Ark
Arch Otolaryngol Head Neck Surg. 2001;127:454-457.
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A 3-YEAR-OLD African American girl presented with a 1-week history of
respiratory difficulty. She had previously been admitted to an outside hospital
for 72 hours with a diagnosis of bronchiolitis-vs-pneumonia, with the chest
x-ray film showing a left lower lobe infiltrate. Forty-eight hours after discharge,
she had a coughing episode at home and became acutely cyanotic. The emergency
medical service was called, and the patient was intubated and transferred
to the local hospital. She was unable to be adequately oxygenated, even with
increasing ventilator settings. The mobile extracorporeal membrane oxygenation
(ECMO) unit of the Arkansas Children's Hospital, Little Rock, was consulted,
and the patient was placed on mobile ECMO and transferred to the hospital.
A chest x-ray film demonstrated an abnormality (Figure 1, arrow), and the otolaryngology service was then consulted.
Physical examination revealed a child on mechanical ventilation and ECMO . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Radiology Quiz Case--Diagnosis
Arch Otolaryngol Head Neck Surg 2003;129:1348-1348.
FULL TEXT
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