Differential Diagnosis Considerations of Sickness After Rapid Pressure Changes at Altitude

Abstract

Naval aviators are exposed to multiple stresses during flight. When injuries occur it is important to obtain a careful history and physical examination. A broad differential diagnosis, including decompression sickness, hypoxia, and arterial gas embolism, should be considered to ensure prompt and appropriate evaluation and treatment. In this case report, the pilot had acute neurological injuries concerning for arterial gas embolism or an hypoxic episode, as well as a delayed recurrence of symptoms consistent with decompression sickness.