The previous question:

A 54 year old male with a history of COPD presents with pleuritic chest pain and shortness of breath. A CXR reveals
an air rim of greater than 2cm and sats are 90%. How should this patient me managed initially?
Your answer was Aspiration which is incorrect
Chest drain correct answer
Admit for observation
Discharge with outpatient follow up
High flow oxygen
Aspiration
Explanation:
This patient has COPD and this is thus likely to be a secondary pneumothorax. If the patient is greater than
50 with breathlessness and rim of air greater than 2cm then aspiration is unlikely to be successful and
therefore a chest drain should be inserted.
Question category: Respiratory
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A 44 year old male with a history of COPD presents with pleuritic chest pain.
A CXR reveals an air rim of less than 2cm and sats are 94%. How should this
patient me managed initially?
Chest drain
High flow oxygen
Aspiration
Discharge with outpatient follow up
Admit for observation
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