A 23-year-old tall, thin man presents with sudden right-sided pleuritic chest pain and shortness of breath. He is haemodynamically stable. Chest X-ray...

Question

A 23-year-old tall, thin man presents with sudden right-sided pleuritic chest pain and shortness of breath. He is haemodynamically stable. Chest X-ray shows a small primary spontaneous pneumothorax occupying 20 percent of the right hemithorax. He has minimal symptoms. What is the most appropriate management?

Accepted Answer

Discharge with outpatient follow-up and safety netting

Answer

Immediate chest drain insertion

Answer

Urgent needle aspiration regardless of symptoms

Answer

Elective pleurodesis during this admission

Answer

High-flow oxygen and admission for all pneumothoraces

uk-plab-1 MCQ (SBA): Primary spontaneous pneumothorax