15yr old with pneumothorax

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. 

Here we discuss our individual patient' problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.

15 yr old male who is a student came to medicine OPD with C/O left sided chest pain since 3 months

HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic 3 months ago then pain started which is
*Dragging type of pain
*Insidious in onset
*Gradually progressive
was treated in a private hospital in his hometown for which he was diagnosed as hydropneumothorax

PAST HISTORY:
*7yrs back Patient developed weakness and pain all over body for which he visited local hospital and was managed conservatively
*4yrs back patient developed similiar complaints of pain all over body and was managed conservatively in our hospital
*2 yrs back he had C/O pain in left side of face and was diagnosed with herpes in local hospital and medication was used for same
*Not K/C/O HTM, DM, TB, ASTHMA, EPILEPSY, CAD

PERSONAL HISTORY:
Diet: mixed
Appetite: normal
Sleep: normal
bowel: regular
bladder: normal micturition

FAMILY HISTORY:
Not significant

GENERAL EXAMINATION:
Patient is C/C/C
-Examined in a well lit room
-Moderately build and nourished
-No pallor, icterus, clubbing, --lymphadenopathy not present

VITALS: 
-Temp: afebrile
-RR: 22/min
-PR: 90bpm

SYSTEMIC EXAMINATION:

CVS: s1s2 +
RS: normal vesicular breath sounds heard
CNS EXAMINATION: NFD

Investigations: 
                       ECG
USG CHEST
CHEST XRAY

        HRCT (done outside)



PROVISIONAL DIAGNOSIS:
Pneumothorax
Percussion video: https://youtu.be/TEXaE7TlBaw

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