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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 ?
Repeated aspirations as chest drain inseion is dangerous if bullae are present
High flow oxygen and carefully monitor the patient
Inseion of Seldinger intercostal chest drain to cause resolution of pneumothorax
Inse a large bore chest drain as there may be a significant Air leak
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