Case Challenge: A teenager shot multiple times develops further complications
after a percutaneous pigtail catheter was inserted into the right side of his chest 5 weeks after polytrauma from multiple gunshot wounds. Minimal output from the chest tube prompted interventional radiology to begin daily tissue plasminogen activator administration through the pigtail catheter 2 days ago.
The patient describes diffuse right-sided chest pain and shortness of breath secondary to pain after the second administration of tPA. He has no leg pain, fevers, chills, or cough.
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