Soft Tissue - Not your classic blunt neck trauma: Case
Caption
12 hours after having a fall in her bathroom, an otherwise healthy 54 y/o female presented to the ED complaining of neck pain, dysphonia and difficult swallowing. Physical examination revealed hypertension, a HR of 109 bpm (sinus tachycardia) and 98% environmental O2Sat. She had no trouble breathing or speaking, although a coarse tone of voice was evident. Her skin revealed a mild linear abrasion with local upper right lateral neck swelling. A firm, tender submandibular mass was palpable. Neck ultrasound seen here revealed the trachea in a central position and the carotid arteries with no obvious signs of injury. Jugular vasculature was also studied and showed no adjacent fluid collections (not visualized in this clip). Sliding the probe to the right submandibular region revealed a well defined hypoechoic structure compatible with an enlarged salivary gland. Dr. Felipe Urriola & Dra. Daniela Gallardo Emergency Unit, Puerto Aysen Hospital. Chilean Patagonia