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Topics: AAA, Abdominal Trauma, Emergency Medicine, Lung

POCUS e-FAST Exam

Case Study:

A construction worker was brought to the Emergency Department by his coworkers. According to them he fell from the roof after losing his balance while replacing the roof shingles. The patient is in distress and has multiple bruises all over his body. He complains of tenderness on his right anterior upper chest region. A POCUS e-FAST exam was performed. The following image was one of the views obtained. The sonographic findings are consistent with:

What is the diagnosis?

A. Free fluid in the abdominal cavity
B. Anechoic pericardial effusion
C. Free fluid in the pleural cavity on the right side with spine sign positive
D. Free fluid in the pleural cavity with a negative spine sign

(Answer below)

Answer:

C. Free fluid in the pleural cavity on the right side with spine sign positive

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