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Image of the Month—Quiz Case FREE

Anna M. Leung, MD; Stephanie R. Goldberg, MD; Rao Ivatury, MD
[+] Author Affiliations

Author Affiliations: Department of Surgical Oncology, John Wayne Cancer Institute at St John's Health Center, Santa Monica, California (Dr Leung); and Division of Trauma Surgery and Critical Care, Virginia Commonwealth University, Richmond (Drs Goldberg and Ivatury).


SECTION EDITOR: CARL E. BREDENBERG, MD


JAMA Surg. 2013;148(3):295. doi:10.1001/jamasurg.2013.318a.
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A 21-year-old man presented to the emergency department after gunshot wound to the right shoulder. His only concern was chest pain. He denied any dyspnea. On examination, the patient appeared to have no airway compromise and was hemodynamically stable. Physical examination was remarkable for 2 penetrating wounds, one on his right shoulder and one on his left shoulder. After administration of intravenous contrast, computed tomography (CT) scan of the chest was performed (Figure 1).

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Figure 1. Computed tomography scan of the chest.

WHAT IS THE DIAGNOSIS?

A.  Tracheal injury

B.  Esophageal injury

C.  Aortic injury

D.  Subclavian artery injury

Figures

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Figure 1. Computed tomography scan of the chest.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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