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10대/남자
Exertional chest pain으로 내원하였습니다.
가만히 있으면 통증 없다.
뛰면 통증이 있다. → 10대가 angina는 아닐텐데...
일어나거나 상체를 비틀면 통증이 있다. → Costchondritis인가?
이 환자는 주증상이 pleuritic chest pain이 아니고 exertional chest pain입니다.
Primary spontaneous pneumothorax (PSP) usually develops when the patient is at rest. Patients are typically in their early 20s, with PSP being rare after age 40. Patients usually complain of the sudden onset of dyspnea and pleuritic chest pain. The severity of the symptoms is primarily related to the volume of air in the pleural space, with dyspnea being more prominent if the pneumothorax is large.
REF. UpToDate 2019.03.15
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