A 22-year-old tall, thin man develops acute pleuritic right-sided chest pain and dyspnea while playing basketball. Vital signs show BP 118/76 mmHg, HR 102/min, RR 22/min, temperature 37.2°C, and SpO2 92% on room air. Examination reveals decreased breath sounds at the right apex with normal tracheal position. Chest radiograph shows a small right apical pneumothorax without mediastinal shift. He denies recent trauma or prior lung disease. Which diagnosis is most likely?
- A)Pleural effusion
- B)Pulmonary embolism
- C)Spontaneous pneumothoraxGABARITO
- D)Primary pulmonary hypertension due to BMPR2 mutation
- E)Community acquired pneumonia
Explicação
Spontaneous pneumothorax is correct. A tall thin young man with sudden unilateral pleuritic pain and an apical pleural air collection has the classic presentation of rupture of a subpleural bleb. The absence of mediastinal shift argues against tension physiolo... Ver explicação completa e trilha adaptativa →