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Virtual Pediatric Hospital: Paediapaedia: Approach to Barotrauma Paediapaedia: Neonatal Chest Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Barotrauma

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
A pneumothorax is difficult to visualize on a supine film. The most common place to see one is in the medial basal and basilar portions of the lung. The best film to obtain to diagnose a pneumothorax is a decubitus film with the suspicious side up. icon gif

A pneumopericardium may be difficult to distinguish from a pneumomediastinum as both may have a "continuous diaphragm sign." In a pneumopericardium, air will never dissect above the level of the main pulmonary artery, which is the superior extent of the pericardium. icon gif In a pneumomediastinum, air can dissect all the way up the mediastinum into the neck. icon gif

References:
See References Chapter.

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