Left-sided chest pain

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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* LEFT HYDROPNEMOTHORAX.. * LUNG PATHOLOGY.. WITH.. THROMBOCYTOPENIA.. NEED'S.. ICD .. ANEMIA PROFILE.. BLOOD CBC.. MP..WIDAL..DENGUE.. LFT .. * CTCE STUDY.. * GYNECOLOGICAL EXAMINATION..

Tnx Dr Pranab Bera
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Left HYDROPNEUMOTHORAX Needs further investigation and evaluation to conclude particularly pleural fluid analysis and ruled out ICD and A RF. Medical management. Regular monitoring and constant evaluation required.

Thanks Dr Kute Ankush
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Left hydropnemothorax ARF Slightly raised bil. Needs left ICD. Evaluate for low platelets e.g. Dengue. Pleural fluid analysis. Medical management accordingly.

Left sided hydropneumothorax , following stressful exercise. HRCT to confirm . Thrombocytopenia has to be explained and corrected. Tension pneumothorax has to be ruled out. ICD on the left chest Left pleural effusion aspirate for AFB AND CBNATT Investigations for thrombocytopenia. and renal failure

Sudden onset pneumothorax indicate underlying lung pathology. Put ICT and collect pleural fluid for cytology and malignant cells. Review with reports

POSSIBLY SECONDARY. TO DENGUE.. NEEDS FURTHER. EVALUATION

How much is hydropneumothorax can image of xray available

A case of pneumothorax with pleural effusion ,adv HRCT , pleural fluid cytology

Left Hydropneumothorex ?Gerd Low platlet Medical treatment required

I am agree with@Dr. Kute Ankush Sir, And@Dr. Ashok Leel Sir, And@Dr. Sandeep Ghodekar Sir.

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