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Images in paediatrics
  1. Thomas Standley,
  2. Robert Ross-Russell,
  3. Samir Latifi
  1. Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Samir Latifi, PICU Box 7, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK; samir.latifi{at}addenbrookes.nhs.uk

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When assessing patients with chronic conditions we often assign new symptoms to their underlying disorder. We describe the story of a “known asthmatic” presenting with respiratory distress.

Case report

A 15-year-old boy with asthma suffered severe polytrauma after being hit by a car. He required a tracheostomy to facilitate management of his mandibular fracture. He recovered well following admission and was successfully decannulated prior …

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