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?
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