Article: Subcutaneous emphysema in a 61-year-old man: subcutaneous emphysema can have many different causes--a challenge because a precise diagnosis and correction of underlying pathology are required for proper treatment.(Disease/Disorder overview)(Case study)

A 61-year-old black man arrived at the emergency department complaining of right-sided chest pain, dyspnea, and cough over the prior 12 hours. He described the pain as constant and nonradiating. He denied vomiting, chills, sore throat, and dysphagia. The patient had no significant medical history, was not taking any medications, and had no known allergies to medications, food, dye, or latex. He was employed as an asphalt paver, lived with his girlfriend, and had a long smoking history.

Physical examination The patient was awake, alert, and in mild respiratory distress. BP was 156/70 mm Hg; heart rate, 101 beats per minute; respirations, 14 breaths per minute; and ...

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