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A 39-year-old woman presented to the Emergency Department complaining of sudden-onset anterior neck pain, odynophagia, and dysphonia while she was smoking her crack pipe Questions: 1. Describe what you see? Diagnosis: Retropharyngeal emphysema 2. What are the typical sign and symptoms for the above diagnosis? Dysphagia Odynophagia Neck tenderness Crepitus Hematemesis 3. What are the complications this patient might experience? Serious complications include vascular injury to the carotid arteries or infection such as mediastinitis and abscess formation. 4. How would you treat this patient? If hemodynamically stable, watch, nasogastric feeding and consider intravenous prophylactic broad spectrum antibiotics If hemodynamically unstable, emergent surgery ,nasogastric feeding Trivia: Which Queen song was dedicated to John Lennon? Answer: Life Is Real
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