Curofy
Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
*Chief Complaint*
A 45 y/o male presents with severe left-sided chest pain which is radiating to the shoulder. He had 1 episode of vomiting when the pain started. The pain started when he was doing cardio in the gym.
*History*
No past medical or surgical history. No family history of heart disease.
He is nonsmoker but drinks alcohol on alternative day.
*Vitals*
Vitals are wnl
*Invesstigations*
Chest xray shows Left-sided pneumothorax and pleural effusion
Hb: 15.8 g/dL
WBC: 11,500/mm3
Neutrophils: 89.2%
Platelets: 82,300/mm3
Sodium: 143 mmol/L
Potassium: 3.6 mmol/L
Chloride: 105 mmol/L
Bicarbonate: 25 mmol/L
Blood Urea Nitrogen:19 mg/dL
Creatinine: 1.8 mg/dl
Total bilirubin: 1.4 mg/dL
Albumin: 4.8 g/dL
*Treatment*
What are your views on management?