Dyspnoea and Chest Pain in a Young Man

Authors: Alexander Hieatt / Editor: Adrian Boyle / Reviewer: Peter Kilgour, Alexander Hieatt / Codes: A1, A2Published: 21/01/2023

A 17-year-old tall thin male presents with sudden onset of sharp, stabbing bilateral chest pain, worse on inspiration and most severe under left scapula.

On examination he is comfortable at rest but reports being breathless on exertion.

He has equal bilateral air entry, a respiratory rate of 20 and SO2 98% on air.

All other observations are normal.

Dyspnoea2-1

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