Pleura and mediastinal conditions

A 27-year-old man is brought in 20 minutes after his motorcycle struck a tree at speed. He is agitated, with a respiratory rate of 38/min, oxygen saturation 84%…

Clinical rotations · common

A 58-year-old man was started on oral amoxicillin five days ago for right lower lobe pneumonia. He returns because his fevers have continued and he is more brea…

Pre-internship · middle twist

A 24-year-old man is brought to a regional emergency department after his motorcycle struck a guard rail. The ambulance officers report that he lost his output…

Pre-internship · middle twist

A 68-year-old man has become breathless over three weeks. He is examined sitting upright, and the right side of his chest expands less than the left. Bedside ul…

Foundations · middle twist

A 25-year-old motorcyclist is brought to the emergency department after a high-speed crash, complaining of left-sided chest pain and severe breathlessness; he c…

Pre-internship · common

A 58-year-old man presents with three weeks of progressive breathlessness and a dull right-sided chest ache. He has smoked 30 cigarettes daily for 35 years and…

Clinical rotations · common