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Clinical—A 55-year-old man presented with a 4-day history of shortness of breath and productive cough. The patient had a long-standing history of shortness of breath on exertion and a 35-pack year smoking history, but no prior hospital admissions. Family history was significant with 2 first-degree relatives affected by severe respiratory disease, not otherwise specified. A chest radiograph was performed (Figure 1). Figure 1. PA chest radiograph What is the diagnosis and management? Answer, Figure 2, and Discussion ‘Tension' bullae have been previously reported, again mimicking a tension pneumothorax,1highlighting the fact that a tension pneumothorax is an emergency situation and the diagnosis is generally based on clinical findings rather than imaging.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Niall Hamilton, Medical House Surgeon; Matthew Hills, Consultant Physician; Timaru Public Hospital, Timaru

Acknowledgements

Correspondence

Niall Hamilton, RMO Unit, Christchurch Public Hospital, PO Box 4345, Christchurch, New Zealand. Fax: +64 (0)3 3378954

Correspondence Email

niall.hamilton@cdhb.govt.nz

Competing Interests

Vega, ME, Civic B. A tension bulla mimicking tension pneumothorax. N Eng J Med. 2011;365(20):1915.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Clinical—A 55-year-old man presented with a 4-day history of shortness of breath and productive cough. The patient had a long-standing history of shortness of breath on exertion and a 35-pack year smoking history, but no prior hospital admissions. Family history was significant with 2 first-degree relatives affected by severe respiratory disease, not otherwise specified. A chest radiograph was performed (Figure 1). Figure 1. PA chest radiograph What is the diagnosis and management? Answer, Figure 2, and Discussion ‘Tension' bullae have been previously reported, again mimicking a tension pneumothorax,1highlighting the fact that a tension pneumothorax is an emergency situation and the diagnosis is generally based on clinical findings rather than imaging.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Niall Hamilton, Medical House Surgeon; Matthew Hills, Consultant Physician; Timaru Public Hospital, Timaru

Acknowledgements

Correspondence

Niall Hamilton, RMO Unit, Christchurch Public Hospital, PO Box 4345, Christchurch, New Zealand. Fax: +64 (0)3 3378954

Correspondence Email

niall.hamilton@cdhb.govt.nz

Competing Interests

Vega, ME, Civic B. A tension bulla mimicking tension pneumothorax. N Eng J Med. 2011;365(20):1915.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Clinical—A 55-year-old man presented with a 4-day history of shortness of breath and productive cough. The patient had a long-standing history of shortness of breath on exertion and a 35-pack year smoking history, but no prior hospital admissions. Family history was significant with 2 first-degree relatives affected by severe respiratory disease, not otherwise specified. A chest radiograph was performed (Figure 1). Figure 1. PA chest radiograph What is the diagnosis and management? Answer, Figure 2, and Discussion ‘Tension' bullae have been previously reported, again mimicking a tension pneumothorax,1highlighting the fact that a tension pneumothorax is an emergency situation and the diagnosis is generally based on clinical findings rather than imaging.

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Niall Hamilton, Medical House Surgeon; Matthew Hills, Consultant Physician; Timaru Public Hospital, Timaru

Acknowledgements

Correspondence

Niall Hamilton, RMO Unit, Christchurch Public Hospital, PO Box 4345, Christchurch, New Zealand. Fax: +64 (0)3 3378954

Correspondence Email

niall.hamilton@cdhb.govt.nz

Competing Interests

Vega, ME, Civic B. A tension bulla mimicking tension pneumothorax. N Eng J Med. 2011;365(20):1915.

Contact diana@nzma.org.nz
for the PDF of this article

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