This week’s free board review question…
A combative, 18-year-old patient is brought in by emergency medical services after being involved in a high-speed motor vehicle collision. You order radiography of the chest (see Figure).
What statement is true of awake patients with the most likely injury associated with the findings seen in this Figure?
Most patients have external signs of chest trauma.
The majority of awake patients report interscapular or retrosternal pain with this injury.
Findings on physical examination are neither sensitive nor specific for this injury; the diagnosis depends on ancillary studies.
Nearly 100% of patients with this injury present with hypotension.
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