A 50yo man has a stab wound to his left anterior chest at the level of the 4th ICS. He has a BP
80mmHg, pulse=130bpm. His neck veins are dilated and his heart sounds are faint. His trachea is
central. What is the most appropriate dx?
a. Cardiac tamponade
b. Diaphragmatic rupture
c. Fractured ribs
d. Tension pneumothorax
e. Traumatic rupture of aorta
answer: A
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