A young male with Acute Onset Dyspnea

A male aged 33 years Chief Complaints Sudden onset Dyspnea Pain Left Side of Chest (x 2 hrs) Physical Examination Resp- Decrease Air entry left side

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CXR is showing rt sided deviation of trachea,may be rt sided fibrosis or lt sided effusion or pneumothorax.as the left side of cxr is not visible properly.we can only presume there is tension pneumothorax.is there any h/o pul koch.it is an emergency,ICD needs to inserted asap.with high flow oxygen,advice hrct chest.if there is cough with sputum send it for AFB CBNAAT DST.do ecg also

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It looks like pneumothorax lt lung.x ray is not very clear there seems to be a cavity in mid portion of lung.pl go for hrct chest.could be an old case of pulmonary tuberculosis developing tension pneumothorax

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Rt side lung shows haziness suggestive of pulmonary oedema Lt side chest shows dark hyperinflated chest the KUB along with is suggestive of volvulus with likely tension pneumothorax lt side

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Rt sided fissural effusion seen. Left sided pneumothorax noted. Mediastinal widening noted. Adv left ICD. HRCT thorax. Echo CD.

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Diseases Related to Discussion

Pneumothorax
Tuberculosis
Pulmonary Tuberculosis
Volvulus