A state of SHOCK in a young patient with no history? The TAP scanner to the rescue!

4,818 views

Mickaël OHANA, MD PhD

Published on Feb 2, 2023
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We will look at the case of a young patient (in his forties), with no known history, who was admitted to the emergency department for shock, and in whom the thoraco-abdomino-pelvic scan was decisive in understanding the clinical picture. His only clinical complaint was dyspnea that had been developing for about two weeks. On admission, the patient was very dyspneic, polypneic, with severe hypotension and peripheral marbling. There was no chest pain but abdominal palpation revealed sensitivity/guarding in FIG. The biological assessment was altered, with lactates in particular being very high. There were multiple diagnostic hypotheses to explain this state of shock. A TAP (thoraco-abdomino-pelvic) scan was therefore quickly performed, and will help to understand the clinical picture and thus adapt the management. This is the scan that we will look at together. Case presented by Professor Mickaël Ohana, radiologist at the University Hospital in Strasbourg. NB: yes I had the flu at the time of recording, hence my very very tired look... But rest assured I'm feeling better ^^

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