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Daniel A. Evans, MD; Ronald E. Bokulic, DO

Arch Pediatr Adolesc Med. 1997;151(8):847-849.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 12-YEAR-OLD girl was seen with dyspnea and hypoxemia at rest after being kicked by a horse on the right side of the chest. The trauma had resulted in a 15-minute loss of consciousness. Her hypoxemia resolved with the administration of supplemental oxygen, and results of an initial chest radiograph were obtained within 2 hours of the trauma (Figure 1). Findings on a subsequent radiograph 2 days later were unchanged, and a computed tomographic scan of the chest was performed (Figure 2).

Her respiratory history was remarkable for a few episodes of wheezing that she had experienced as an infant. She denied recent fever, cough, shortness of breath, chest pain, or hemoptysis. Findings from a physical examination, performed 3 days after the trauma, revealed a well-developed, well-nourished girl in no distress. Her respiratory rate was 20/min. No adventitial breath sounds were auscultated. Tuberculin skin test (purified protein derivative) results and . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Pediatric Pulmonary Medicine, Children's Hospital Medical Center, Cincinnati, Ohio.

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