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Clerkship - Chest Pain and Shortness of Breath

  1. Describe the causes, diagnosis, and treatment of spontaneous pneumothorax.
  2. Discuss the risks of pneumothorax which could prove life-threatening.
  3. Discuss the underlying pulmonary pathology you might expect to find.
  4. Discuss the role of:
    • Observation
    • Tube thoracostomy
    • Chemical sclerosis
    • Surgical management of this condition
  5. Describe the common etiologies for hemothorax.
  6. Discuss an appropriate diagnostic evaluation for a patient with hemothorax.
  7. Discuss the appropriate management of blood in the pleural cavity.
  8. Which patients need an operation?
  9. What are the risks in leaving the blood diagnostic in the chest?
  10. Discuss the most common non-traumatic causes of hemothorax.


  1. Describe the presentations, etiologies and management of pulmonary embolus.
  2. Discuss the predisposing factors which may lead to PE.
  3. Discuss the main points in the evaluation for PE.
  4. Discuss management options:
    • Who needs anticoagulation with heparin?
    • Who needs lytic therapy?
    • Who needs vena caval filter protection?
    • Discuss the indication for open thoracotomy and pulmonary embolectomy to treat massive embolism.

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