Small Bowel Obstruction

Gunshot wound to the shoulder

18 year old male with a gunshot wound to the Right shoulder.
He was casted and released without any severe sequela.

Pneumonia

Severe pneumonia in an 88 year old ICU patient.

Note the diffuse haziness in all lung fields. This is easily one of the worst cases of pneumonia I've seen on x-ray.
Unfortunately, the pt died 12 hours later. He had chosen a few years ago not to be placed on a ventillator if he was seriously ill, so we followed his wishes and provided comfort-care with all of his family at the bedside.


Have you ever thought about making an advanced directive to let others know about how you wish to be treated if something catastrophic were to happen?


http://www.caringinfo.org/stateaddownload/

Collapsed lung

I was called by the ICU nurse and told that this patient's oxygen had dropped suddenly. I ordered a STAT Chest X-Ray and it came back with a collapsed Left lung (actual X-ray below. Notice the arrows that are pointing to the outline of the lung. It's shriveled up and much smaller than it should be.)