Tension Pneumothorax

Collapsed 3

Step 1: View clinicals

A 25 year old man presents with left sided pleuritic chest pain and dyspnea of sudden onset, soon after exercise. His medical history is completely unremarkable. He regularly engages in sports, and smokes a couple of cigarettes every day.


Step 2: Order all relevant investigations

Chest X-Ray

There is a large left-sided pneumothorax, with tracheal deviation to the right.

D-Dimers

D-Dimers are not elevated.

ECG

The ECG shows sinus tachycardia with no ischemic changes.

CT Pulmonary Angiography

The CT Pulmonary Angiogram appears normal.


Step 3: Select appropriate management

Oxygen Stat
Needle Thoracocentesis
Antibiotics
Thrombolysis


Score: ★★☆