Question 8

8.  Your patient is a 24 year old male that presents with left sided chest pain and shortness of breath.  His vitals are as follows HR 112, RR 24, Temp 98.7, SaO2 94%.  His chest x ray is below.  Which of the following is the best management plan?

A.  Arrange for immediate bronchoscopy and biopsy
B.  Start on Levaquin 750 mg IV daily
C.  Insert a 28 French chest tube on the left side at the 4th or 5th interspace
D.  Observation and oxygen supplementation