Finally tonite's oncall was worth going. I got to see a chest tube insertion done on a patient which i diagnosed CORRECTLY (for once, just kidding!). It was a 19 year old malay guy, that came in with the complain of SOB and left sided chest pain. They did a chest x-ray anf found 2 masses on the left side of his chest, with reduced lung markings. His trachea was slightly deviated to the right. The doc's there suggested that it was probably a tumour or some sort pushing his trachea to the right, & when i blurted out that it could be a pneumothorax, they were like "Nah, it dosen't look like one." Felt defeated, but it was a good try anyway, so i decided to just kept my mouth shut. 15 minutes later, the alarm bell sounded, the few of us decided to go see what was going on in the RED ZONE. The nurse announced that a case of pneumothorax was comming in, we were anticipating for the WORSE! MVA, multiple injuries, tension pneumothorax... Whatever that you could imagine. Was so stunned to see a young guy walking in, follow by the doc which later announced that the x-ray that we saw just now was a case of spontaneous pneumothorax!Haha, i guess it's just my lucky night. It will be a nite that i would not forget, also a diagnosis definitely embeded deeply into my brain! Hope that i will remember for LIFE!
@Totally satisfied... 0301, 05052007
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