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Ooh-rah! An Unusual Cause of Spontaneous Pneumomediastinum
Spontaneous pneumomediastinum (SPM) with associated subcutaneous emphysema is an uncommon and generally benign condition. We describe an occurrence of SPM that occurred from yelling in a U.S. Marine Corps Drill Instructor. The patient describes yelling at Marine recruits the day prior when he felt a pop "behind his nose." Upon arrival to the Emergency Department, the patient was normotensive, afebrile, and maintaining an oxygen saturation of 100% on room air. Chest films demonstrateddoi:10.7205/milmed-d-12-00243 pmid:23198520 fatcat:bbd72kvvwrbs5bs3oynsvpiaze