Robert is a 68-year-old male admitted to the hospital for monitoring overnight after an elective Permanent Pacemaker (PPM) insertion for tachycardia-bradycardia syndrome.
Several hours after admission, he begins to complain of shortness of breath and sharp chest pain, worse on inspiration. He denies any palpitations.
His past medical history includes a deep vein thrombosis 2 months ago, for which he is on apixaban 10mg bd. He remains conscious throughout the episode.
PNEUMOTHORAX