Secondary Spontaneous Pneumothorax, # 115
Gold-standard vignette
Chief complaints
Dyspnea
Chest pain
History of presenting illness
Comes to the emergency department due to sudden onset of severe dyspnea and right-sided chest pain exacerbates with inspiration, while driving to work.
Absent findings
No palpitations, No cold extremities, No dysphagia, No nasal congestion or rhinorrhea, No recent trauma, No cough, No fever.
Physical examination
Blood pressure is 130/80 mm Hg and pulse is 102/min and regular.
Past medical & surgical history
He has smoked a pack of cigarettes daily for 35 years.
Long history of chronic obstructive pulmonary disease (emphysema)