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Telephone Diagnosis of a Strange Voice*

Yoav Yanir; Amir Abramovich; Nira Beck-Razi; Avi Shupak
Author and Funding Information

*From the Israel Naval Medical Institute (Drs. Yanir, Abramovich, and Shupak), Israel Defense Forces Medical Corps; and the Department of Radiology (Dr. Beck-Razi), Rambam Medical Center, Haifa, Israel.

Correspondence to: Yoav Yanir, MD, Israel Naval Medical Institute, PO Box 8040, 31 080 Haifa, Israel; e-mail: shupak@internet-zahav.net



Chest. 2003;123(6):2112-2114. doi:10.1378/chest.123.6.2112
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Extract

A previously healthy 25-year-old man made a telephone call to our institute 3 h after surfacing from a self-contained underwater breathing apparatus (scuba) dive. Earlier that day, he had been spear-fishing using compressed air to a maximal depth of 9 m for approximately 2 h. Immediately after surfacing from the dive, he had noticed a significant change in his voice, and complained of dyspnea with pleuritic chest pain. Over the telephone, his voice sounded distorted with an unusual nasal quality, and a probable diagnosis was made. He was then asked to come to the emergency department. Physical examination revealed subcutaneous emphysema at the anterior triangle of the neck. Auscultation of the lungs and heart was normal, and the neurologic examination was unremarkable.

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