Question 41 (part 2) · LEK · Chest injuries

A patient has developed dyspnoea, tachycardia, paradoxical pulse, decreased blood pressure, cervical vein dilatation and muffled heart sounds after a traffic accident. The diagnosis is:

  1. A. tension pneumothorax.
  2. B. myocardial infarction.
  3. C. chronic obstructive pulmonary disease.
  4. D. pulmonary embolism.
  5. E. cardiac tamponade.
Hint

Look for Beck's triad together with pulsus paradoxus after blunt chest trauma.

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