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Radiology Quiz Case
Thong T. Le, MD;
Scott H. Hardeman, MD;
Mimi S. Kokoska, MD
St Louis University Health Sciences Center, St Louis, Mo
Arch Otolaryngol Head Neck Surg. 2002;128:197-199.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 36-YEAR-OLD WOMAN with diabetes presented with an acute worsening
of progressive dyspnea on exertion that had required multiple visits to a
local emergency department over the prior month. Her primary care physician
had treated her with increasing doses of asthma medications, which had failed
to relieve her symptoms. Her medical history was significant for an episode
of bacterial meningitis 2 months earlier, for which she had undergone 4 days
of intubation and mechanical ventilation. On admission, she had a weak, breathy
voice and biphasic stridor that was worse with talking and exertion, and arterial
blood gas analysis revealed that her oxygen saturations were 95% on room air,
with a CO2 of 59 mm Hg. A lateral airway film was inconclusive.
Flexible nasopharyngoscopy revealed a subglottic soft tissue obstruction.
An urgent tracheostomy was performed while the patient was . . . [Full Text of this Article]
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