CXR’s can be misleading, some common points to be aware of: Erect vs supine (fluid layering): AP view can magnify the heart (PA vs AP): Rotation – are the spinous processes centered between the medial edges of the clavicles? Note how heart width changes with rotation. Penetration – vertebral bodies should be just visible behind […]
My Face is Swollen!
Posted onA 15yo girl comes into your ED complaining of unilateral facial swelling that started this morning as a little bit of swelling under her R ear, and 8 hours later, is now her entire R cheek. No fevers/chills. ROS otherwise negative. VS normal. Exam with induration to the R cheek, non tender, no overlying erythema. […]