Question

A 30-year-old man presents with sudden onset pleuritic chest pain and dyspnea. He is tall, slim, with reduced breath sounds on the right and hyperresonance. What is the best initial management of a primary spontaneous pneumothorax in a stable patient?

Accepted Answer

Needle aspiration in the 2nd intercostal space, mid-clavicular line

Answer

Large-bore chest drain insertion

Answer

High-flow oxygen and observation

Answer

Immediate chest CT

Answer

Start IV antibiotics

Practice question

A 30-year-old man presents with sudden onset pleuritic chest pain and dyspnea. He is tall, slim, with reduced breath sounds on the right and hyperresonance. What is the best initial management of a primary spontaneous pneumothorax in a stable patient?