• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Clinical Informatics, Telehealth and Technology
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Toxicology
    • Trauma
    • Ultrasound
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

A Case Report of a Large Goiter Resulting in Tracheal Deviation

Thomas Powell, MD* and Geremiha Emerson, MD*

*The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OH

Correspondence should be addressed to Thomas Powel, MD at TLPowell2010@gmail.com

DOI: https://doi.org/10.21980/J80645 Issue 6:3
EndocrineVisual EM
No ratings yet.

ABSTRACT:

This is a case report of an extremely large mediastinal mass resulting in tracheal deviation in an 82-year-old female. Such a high degree of both goiter size and tracheal deviation is unusual in Western populations and highlights the potential dangers for patients with unknown mediastinal masses who may require intubation. Because this patient presented with altered mental status after a fall, intubation was considered for airway protection until a trauma chest x-ray revealed the previously unknown mass. Fortunately, this patient was able to protect her airway. In this report, we summarize the case and the latest literature about the dangers of intubation of patients with mediastinal masses. Paralyzing these patients often compromises their airways due to the loss of muscle tone which prevented the mass from obstructing the airway. Awake intubations and use of high ventilatory pressures are reviewed. Fortunately for this patient, her clinical course was unremarkable and she was discharged from the hospital in good condition with the decision not to have the mass removed. A history or a suggestion of a mediastinal mass should give any provider pause before securing the airway of a patient with this condition, and if possible, intubation should be performed using an awake technique.  

Topics:

Mediastinal mass, goiter, image, x-ray, airway, thyroid mass.

Icon

Mediastinal Mass - Manuscript

1 file(s) 1.0 MB
Download
Icon

Mediastinal Mass - Images

1 file(s) 518 KB
Download
Issue 6:3X-Ray

Reviews:

No ratings yet.

Please rate this





Case Report—Pediatric Brugada Phenotype from...

07 Jul, 21

A Case Report of Glycogenic Hepatopathy

07 Jul, 21
JETem is an online, open access, peer-reviewed journal-repository for EM educators

Most Viewed

  • A Model Curriculum for an Emergency Medicine Residency Rotation in Clinical Informatics
  • Use of An Ophthalmology Tutorial to Improve Resident Comfort with the Emergency Eye Exam
  • A Novel Module Based Method of Teaching Electrocardiogram Interpretation for Emergency Medicine Residents
  • Respiratory Distress in the Pediatric ED: A Case-based Self-directed Learning Module
  • Methemoglobinemia

Visit Our Collaborators

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright © 2016 JETem. All rights reserved.