Multisystem Processes & Disorders

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with dyspnea of sudden onset; examination reveals reduced chest expansion, a hyperresonant percussion note, and absent breath sounds in the right hemi-thorax, i.e. clinically, this is a right-sided pneumothorax.\n \nPneumothoraces can be broadly classified as spontaneous or traumatic; the absence of trauma in this patient suggests that this is a spontaneous pneumothorax.\n \nSpontaneous pneumothorax itself can be classified as primary (i.e. in the absence of underlying lung disease) or secondary in origin.\n \nIn this respect, note the presence of a high arched palate, arachnodactyly, hyperextensible joints, and an increased arm span to height ratio in this patient. This is suggestive of Marfan syndrome, in which second"}]}

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