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 BOF 151

 

   

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BOF: 151

 A 22 year old male presents with a history of right sided pleuritic chest pain and breathlessness. There is no past history of note and had been previously fit and well. He was not on any medications.  He smoked 10 cigarettes a day and had done so for 4 years. He consumed 20 units of alcohol per week

On examination you do not find any gross abnormalities of his chest

Chest X-ray shows a small pneumothorax with a rim of 1cm of air. You roughly estimate this as being less than 10%

In this patient which one of the following would you suggest?

a)    Discharge the patient

b)    Aspirate the pneumothorax

c)     Introduce an intercostal drainage tube

d)    Observe for 24 hours

e)    Repeat chest X-ray in 6 hours

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