Which of the following is most appropriate step of management in a patient who comes to emergency dept with breathlessness and X-ray showing following findings?
Note:- the unilateral left sided hyperlucency devoid of any lung markings suggesting left pneumothorax. Ina small simple pneumothorax, observation alone may be sufficient, while in a more major pneumothorax a chest drain is more effective and safer, paicularly if the patient is symptomatic or has underlying lung disease. In the present case, Plain inseion of intercostal drain/chest tube (X-ray shows left sided pneumothorax).This X-ray shows left sided pneumothorax . There is relative flattening of the left dome and some mediastinal shift to right. Patient has breathlessness and these all features suggest treatment with inseion of intercostal drain.
Order for HRCT Scan
Thoracocentesis
Plan for the inseion of chest tube
Wait and watch
Respiratory Radiology