Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 19

Answers

1)The three abnormality observes in the radiograph
a)Right mid clavicular fracture
b)Right lung pneumothorax
c)Blunted right cardiophrenic angle (notes: in the past year exam, the third finding was right locular fluid collection- Yeoh Aik Hoe & Wong Yie Dee)




2)Likely presentation
-Pleuritic chest pain
-Tender, deformed, and swelling at right mid clavicular area.
-Shortness of breath.


3)Chest tube insertion at right safe triangle.


4)Site of insertion
-Safety triangle is bounded by anterior border of latissimus dorsi, posterior border of pectoralis major and mid nipple line. Site of insertion 3, 4, or 5th intercostal space, above the ribs to avoid neurovascular bundle.