SAQ 468 – Trauma – pulmonary contusion on trauma chest x-ray

A 38-year-old man is involved in a motor vehicle crash and complains of chest pain. A chest x-ray is obtained as part of the trauma series. His observations and x-ray are shown below.

Observation	Result
Temperature	36.2 C
Blood pressure	135/82 mmHg
Heart rate	105/min, sinus rhythm
Respiratory rate	28/min
SpO2	93% on room air
GCS	15

List two (2) positive and two (2) relevant negative x-ray findings.

(Marked out of 4.0)

/ 4

What is the most likely diagnosis of the lung findings?

(Marked out of 1.0)

/ 1

List three (3) alternative differential diagnoses for the positive x-ray findings.

(Marked out of 3.0)

/ 3

List four (4) immediate management priorities.

(Marked out of 4.0)

/ 4

List four (4) complications associated with this diagnosis.

(Marked out of 4.0)

/ 4

Total Score: 0 / 16

Percentage: 0%