Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of pleuritic chest pain and dyspnea following recent invasive procedure [insert procedure, e.g., central venous catheter placement/thoracentesis]. Symptoms began [timeframe] post-procedure. Denies fever, productive cough, or hemoptysis. No prior history of similar symptoms.
Clinical Examination Findings
Vitals: Tachycardia and tachypnea noted. Respiratory exam: Diminished breath sounds on the affected side, hyper-resonance to percussion, and decreased tactile fremitus. Tracheal deviation absent. Oxygen saturation [value]% on room air.
Treatment Protocol
Immediate management initiated: Supplemental oxygen provided. Small-bore chest tube or pigtail catheter insertion performed under sterile conditions. Serial chest X-rays ordered to monitor lung re-expansion. Analgesia administered. Monitoring for tension pneumothorax signs.