23 yo comes to ED. Has sudden onset SOB and chest pain. Pain is retro sternal and left sided. Worse on deep breathing and cough. Has history of asthma sues albuterol when needed. Is in moderate distress. Vitals are normal but resp rate is 28 amin. Physical exam shows normal breath sounds on reight and decreased breath sounds on elft. Percussion of left chest shows hyper resonance. 1. What is your diagnosis? 2. What would most likely be seen on CXR?

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The main function of the respiratory system is gas exchange (O2 and CO2). Ventilation is the movement of air through the respiratory tract into (inspiration) and out of (expiration) the respiratory zone (lungs).


1. 23 yo comes to ED. Has sudden onset SOB and chest pain. Pain is retro sternal and left sided. Worse on deep breathing and cough. Has history of asthma sues albuterol when needed. Is in moderate distress. Vitals are normal but resp rate is 28 amin. Physical exam shows normal breath sounds on reight and decreased breath sounds on elft. Percussion of left chest shows hyper resonance. 1. What is your diagnosis? 2. What would most likely be seen on CXR?