Last year my son had a spontaneous pneumothorax which required surgery. Since then he has gone to emergency 3 times with the same symptoms but they say his lungs are fine. Yesterday the pain was so severe he almost passed out and couldn't breath. Every breath was so painful. No one seems to know what the problem is. They give him pain meds and discharge him. I was going over some of his medical tests and came across these. If someone could explain them in plain english I would really appreciate it. By the way my son is only 21 years old. Thank you for any help or suggestions you can offer.
CARDIAC ISCHEMIAL ASSESSMENT
CK TOTAL 170 32-294 U/L
CKMB 1.0 0.0-5.0 ng/mL
CKMB is best interpreted in combination with a concurrent total CK as CKMB Index: CKMB/CK Total X 100= %
Index >2.5 is suggestive of myocardial damage.
Total CK: CKMB Index: Origin of CK:
>=200 2.5% Myocardium
Note: <100 Total CK - CKMB Index is of uncertain predictive clinical value.
TROPONIN I 0.78 Elevated Troponin I consistent with recent myocardial injury. In the absence of external chest trauma values in this range suggest myocardial ischemia.
Pain with breathing is unlikely to be angina or cardiac pain.
The pain could be due to pleuritis. The pleura, the lining of the chest cavity and lungs can get inflamed leading to pleuritis, causing pain with coughing. The pneumothorax and consequent therapy could have caused the pleuritis. It can also occur due to local causes like recurrent lung infections. Therapy lies in treating the underlying cause and pain medications. Please discuss this with your doctor am sure he will provide further assistance.
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