Memorial,Archiv,Robert,New,E.,A.P.,By,Strain,Art , Paintings,$97,-,Lee's,Paul,/guidance291037.html,,John,- $97 Robert E. Lee's Memorial - By John Paul Strain - New A.P. Archiv Art Paintings Robert E. Lee's Memorial - By New product!! New John Archiv Strain A.P. Paul Memorial,Archiv,Robert,New,E.,A.P.,By,Strain,Art , Paintings,$97,-,Lee's,Paul,/guidance291037.html,,John,- Robert E. Lee's Memorial - By New product!! New John Archiv Strain A.P. Paul $97 Robert E. Lee's Memorial - By John Paul Strain - New A.P. Archiv Art Paintings

Robert E. Lee's Memorial - By New Daily bargain sale product John Archiv Strain A.P. Paul

Robert E. Lee's Memorial - By John Paul Strain - New A.P. Archiv


Robert E. Lee's Memorial - By John Paul Strain - New A.P. Archiv


Item specifics

New: A brand-new, unused, unopened, undamaged item (including handmade items). See the seller's ...
Medium (up to 36in.)
Region of Origin:
United States
John Paul Strain
Production Technique:
watercolor gouache giclee
Country/Region of Manufacture:
United States
Custom Bundle:
Historical Realism, Realism
Item Height:
19 1/4 in
Item Width:
28 in
Time Period Produced:
Robert E Lee's Memorial
Robert E Lee's memorial, History, Military, Lee Chapel, Washington and Lee University
Certificate of Authenticity (COA):
Item Length:
Signed By:
John Paul Strain
Year of Production:
COA Issued By:
John Paul Strain Historical Art
Original/Licensed Reproduction:
Painting Surface:
archival paper
Width (Inches):
Unit of Sale:
Single Piece
Listed By:
Sea Raven Press
Height (Inches):
19 1/4
Date of Creation:
multiple colors

Robert E. Lee's Memorial - By John Paul Strain - New A.P. Archiv

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A 36-year-old man was brought to the emergency department with suspected COVID-19, following a 3-week history of cough, fevers and shortness of breath, worsening suddenly in the preceding 4 hours. On presentation he was hypoxaemic, with an SpO2 of 88% on 15 L/min oxygen, tachycardic and had no audible breath sounds on auscultation of the left hemithorax. Local guidelines recommended that the patient should be initiated on continuous positive airway pressure while investigations were awaited, however given the examination findings an emergency portable chest radiograph was performed. The chest radiograph demonstrated a left-sided tension pneumothorax. This was treated with emergency needle decompression, with good effect, followed by chest drain insertion. A repeat chest radiograph demonstrated lung re-expansion, and the patient was admitted to a COVID-19 specific ward for further observation. This case demonstrates tension pneumothorax as a possible complication of suspected COVID-19 and emphasises the importance of thorough history-taking and clinical examination.

Tension pneumothorax in a patient with COVID-19


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