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Pulmonary & Respiratory Medicine

ISSN: 2161-105X

Open Access

Chongiin Kim

Department of Medicine, Keck School of Medicine, University of Southern California, USA

Publications
  • Case Report   
    The Non-Resolving Empyema: Rapid Bedside Diagnosis of an Esophageal Rupture Using Methylene Blue Administration
    Author(s): Chongiin Kim*, Rodrigo García-Tomé and Ahmet Baydur

    Diagnosis of de novo esophageal rupture is generally obtained via esophagram. In this case, we present a patient with an esophageal tear, initially presenting as a non-resolving empyema, but ultimately diagnosed based on methylene blue administration at bedside. In the case of critically ill patients who are unable to tolerate more advanced studies, methylene blue delivered through a nasogastric or orogastric lumen is a rapid bedside test that can yield a diagnosis in patients with involvement of the pleural space. This case serves as a reminder of the importance of being cognizant of anchoring bias when evaluating patients, as well as the utility of methylene blue in evaluation of a suspected esophageal rupture... Read More»
    DOI: 10.37421/jprm.2021.11.523

    Abstract HTML PDF

Google Scholar citation report
Citations: 1690

Pulmonary & Respiratory Medicine received 1690 citations as per Google Scholar report

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