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Ultrasound Corner |

Beyond Belief“B”eyond “B”elief

Clarisse Glen, MD; Samuel Acquah, MD; Pierre Kory, MD
Author and Funding Information

From the Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Medical Center, New York, NY.

Correspondence to: Clarisse Glen, MD, Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Medical Center, 16th St at 1st Ave, New York, NY, 10003; e-mail: clglen@chpnet.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(3):e1-e4. doi:10.1378/chest.13-0079
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Extract

A 29-year-old man with type 1 diabetes mellitus presented to our ED complaining of malaise, nausea, abdominal pain, and persistently elevated glucometer readings. This was his third visit to the ED within a week for similar complaints despite reporting full compliance with his outpatient medication. He had not had an episode of diabetic ketoacidosis (DKA) in >10 years. Review of systems was negative for productive cough, fevers, dyspnea, dysuria, or headache.

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Figures

Tables

Video 1. Case patient 1, left 2nd intercoastal space, mid-clavicular line

Running Time: :23

Video 2. Case patient 2, left 4th intercoastal space, mid-clavicular line

Running Time: :22

Video 3. Case patient 3, left 4th intercoastal space, anterior axillary line

Running Time: :23

Video 4. Appearance of normal lung at rib interspace

Running Time: :30

Video 5. Absence of lung sliding

Running Time: :29

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