You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is 50 year old male known case of emphysema presents to OPD with complaint of shoness of breath for 2 weeks. Chest X Ray revealed 3 cm pneumothorax on the right side. What shall be the management approach for the patient ? and explain in detail?
This patient is having secondary Pneumothorax due to presence of underlying lung disease. Cut off used for large vs small pneumothorax is 3 cm distance from Apex. So this is a large symptomatic Pneumothorax and is treated with Seldinger chest drain. Choice A is used for small pneumothorax and can damage other bulla too Choice B is ruled out as we need to intervene actively in this case Choice D, Wide bore Chest drain is used for drainage of empyema, Hemothorax and Malignant pleural effusions.