family medicine
21-year-old male with soft, non-tender mass on the posterior aspect of the left testicle
It's Soft, Non-tender Mass Quiz Time with Med-Challenger!
It's Myotonic Dystrophy Quiz Time with Med-Challenger!
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A 13 yo adolescent girl with history of myotonic dystrophy presents with a 2 day history of cough, nasal congestion, and several episodes of non-bloody nonbilious emesis presents in respiratory distress.
On examination her oxygen saturation is 80%, she is sleepy and minimally responsive to painful stimuli. She is intubated with fentanyl, midazolam, and rocuronium.
The post-intubation chest x-ray is shown below.
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Image courtesy of Ashley Keilman, MD
What is the most likely cause of the chest x-ray findings.
- Pleural effusion
- Aspiration pneumonia
- Pneumothorax
- Right mainstem intubation
This question appears in Med-Challenger Pediatric Emergency Medicine 3rd Edition Exam Review with CME
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