Best of Five 48

 

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BOF: 48

A 24-year-old male presents with sudden onset left sided pleuritic chest pain and difficulty in breathing. On examination he is distressed, tachypnoeic and has tracheal displacement to the right together with a hyper-resonant percussion note on the left side with absent breath sounds on the left. In this patient:

a)      The lung will spontaneously expand within one week

b)      Immediate insertion of an intercostal drainage tube is required

c)      Aspiration of the pneumothorax should be undertaken in the first instance

d)      Surgical pleurodesis will be required

e)      Chemical pleurodesis will be required

 

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