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Case Records of the Massachusetts General Hospital
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Volume 352:2628-2636 June 23, 2005 Number 25
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Case 19-2005 — A 17-Year-Old Girl with Respiratory Distress and Hemiparesis after Surviving a Tsunami
Ann Y. Kao, M.D., Rus Munandar, M.D., Stephen L. Ferrara, M.D., Lt. Comdr., David M. Systrom, M.D., Robert L. Sheridan, M.D., Sydney S. Cash, M.D., Ph.D., and Edward T. Ryan, M.D.

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Editor's note: After the earthquake and tsunami in the Indian Ocean on December 26, 2004, the Massachusetts General Hospital formed a clinical-response team to work with Project HOPE (Health Opportunities for People Everywhere). Project HOPE volunteers worked with U.S. Navy and Public Health Service personnel on the hospital ship, U.S. Naval Ship (U.S.N.S.) Mercy T-AH19 in Operation Unified Assistance, off the coast of Banda Aceh, Sumatra, Indonesia. This conference took place on April 14, 2005, with teleconferencing to the U.S.N.S. Mercy, stationed near Nias Island, Indonesia, the site of another earthquake on March 28, 2005.

Presentation of Case

Dr. Ann Y. Kao: A . . . [Full Text of this Article]

Differential Diagnosis

Differential Diagnosis of the Pulmonary Processes

            Submersion Injury

            Cavitary Lung Disease

            Pneumothorax

            Parapneumonic Pleural Effusion

Surgical Management of Advanced Local Consequences of Bacterial Pneumonia

Neurologic Differential Diagnosis

Infectious Complications of the Tsunami

Diagnosis


Source Information

From the Department of Medicine, Chelsea Health Center (A.Y.K.), the Pulmonary and Critical Care Unit (D.M.S.), the Department of Neurology (S.S.C.), and the Tropical & Geographic Medicine Center, Division of Infectious Diseases (E.T.R.), Massachusetts General Hospital, Boston; Project HOPE, Task Force HOPE–Mercy (A.Y.K., D.M.S., R.L.S., S.S.C., E.T.R.); the Departments of Medicine (A.Y.K., D.M.S., E.T.R.), Surgery (R.L.S.), and Neurology (S.S.C.), Harvard Medical School, Boston; the Department of Medicine, Zainoel Abidin University Hospital, Banda Aceh, Sumatra, Indonesia (R.M.); the Department of Radiology, U.S. Naval Ship Mercy T-AH19, and the Department of Radiology, Naval Medical Center, San Diego, Calif. (S.L.F.); and the Burn and Trauma Services, Massachusetts General Hospital and the Shriners Hospital for Children, Boston (R.L.S.).




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