POCUS CASE OF THE WEEK Christopher Kumetz, MD.

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Presentation transcript:

POCUS CASE OF THE WEEK Christopher Kumetz, MD

Special thanks to Dr. Dan Eraso for the POCUS Case of the Week!

64 yo presents with left chest pain, SOB, and rib splinting 64 yo presents with left chest pain, SOB, and rib splinting. Heard a “pop” No hx of trauma Hypoxic to 92% on 2 LNC Left chest splinting Small apical L Pneumothorax on POCUS CXR neg, CTA Chest neg No rib fractures No PNA No PE Pneumothorax resolved by time CTA performed POCUS performed at site of pain. Left rib - midclavicular line

Sternum Rib

Diagnosis: Rib subluxation! Treatment: Pain control: Subcostal nerve block Consider chest binding Rest Incentive spirometry Surgical consultation for recurrence r/o trauma - fractures, pneumothorax.