A 23 year old male patient is admitted to the emergency department after a motorcycle accident. He was not wearing a helmet, but is alert and awake. He reports having double vision and trouble breathing to the ER physician. Why might the patient have dyspnea and what can be done to protect his airway.
What diagnostic tests should be ordered to determine the cause of the symptoms?
What surgical procedure might be performed, and is this an emergent case?

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Answer:

He need a chest Xray and a pulse oxymeter.  He may have a pneumothorax and may need a chest tube. This is an emergency case he need a CT scan to rule out brain injury. If the Oxygen saturation is low he may need to be intubated/

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