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Case of the Month 06/09

Q1: This 72-year-old female presents to the ED after being found unresponsive at the nursing home.

What’s wrong with these pictures? (hint, it has to do with a man-made object)

View answer

A1:

The trach tube is outside of the trachea (compare to the 3rd x-ray below with the tube in the right place.)

Q2:

What would have been another (possibly better) x-ray to check for this problem?

View answer

A2:

A lateral C spine view might have made this diagnosis an easier one to make by focusing in on the area of the tube.