Spontaneous Primary Pneumothorax

Authors: V. Mundra, M.D., J. Zapatier, M.D., H. Feiz, M.D., Cleveland Clinic FloridaReviewer: V. Dimov, M.D., University of ChicagoA 16-year-old male patient came to the emergency department with complaints of shortness of breath and chest pain which started one day ago. The shortness of breath was mild in severity, made worse by exertion and relieved with rest, associated with pleuritic chest pain, left sided, 5-6/10, sharp in nature. He denied any similar symptoms in the past.Past medical, social, surgical and family historyHe also denied any use of illicit drug like cocaine or and any history of trauma. He did not have any past medical history or past surgical history. He had no family history of premature CAD or asthma. He did not smoke or drink alcohol. He was on no prescription medications and he participated in sports without any difficulty.Physical examinationBlood pressure was 112/70 mm/Hg, HR 90 bpm, temp. 98.7 F and RR was 23/min, SpO2 90 % on room air. His height was 5 ’10’’ with BMI of 19.9. He was in mild respiratory distress. HENT exam was unremarkable. No crepitus was felt. Trachea was in the midline. On auscultation, there were no breath sounds on the left side with hyperresonance on percussion. S1 and S2 were normal with no murmurs/rubs or gallops. The abdomen was unremarkable. No pedal edema was appreciated. No clinical stigmata of Marfan’s syndrome like high arched palate or increased arm span were observed.What is the next step in the management o...
Source: Clinical Cases and Images - Category: General Medicine Tags: Critical Care Pulmonology Source Type: news