Case 1

A tall, thin 20-year-old male attends the Emergency Department (ED) complaining of 3 days of intermittent chest pain. He describes the pain as occurring mostly on deep inspiration and slightly on movement but does not recall any chest wall trauma. He has no past medical history of note. Clinical examination of the cardiovascular and respiratory systems is normal. You cannot elicit any chest wall tenderness and the ECG is normal.

His observations are:

  • BP 120/70
  • Pulse 80 and regular
  • O2 sats. 97% on room air
  • Temperature 36.7 ÂșC
  • Respiratory rate (RR) 20