Image Gallery

You Have To Sign In First
Click here to Sign In


You can answer the question shown below with a picture. Immediately after answering the question the correct answer is displayed to you. And you can see previous questions with its correct answers.


Question:
Sudhir Kumar Rana, Ragini Singh, Chhavi S Nanda
Department of Pediatrics, SGRRIM & HS, Dehradun, India.

Address for Correspondence: Dr Sudhir Kumar Rana, Department of Pediatrics, SGRRIM & HS, Dehradun, India. 248001. Email: drsudhirrana@gmail.com

A 15 month old female child presented with fever, vomiting and diarrhea for 4 days followed by severe respiratory distress and swelling of chest after a violent bout of vomiting. On examination, she was febrile, had tachypnea and tachycardia with subcutaneous emphysema (SCE) with positive rice crispies sign (palpatory feel of tissue paper to detect subcutaneous emphysema) and a crunching, rasping sound synchronous with the heartbeat heard over the precordium in the left lateral position suggestive of spontaneous pneumomediastinum (SPM). Systemic examination was normal. Chest X ray showed bilateral pneumonitis, extensive SPM and SCE without pneumothorax. CT thorax confirmed these findings. The patient got some relief of SCE by skin incisions and improved gradually.

What is the diagnosis_?

Enter Verification :
   =   
Submit Answer
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.