A 36-year-old male bartender is brought by ambulance to your emergency room because a patron jumped.

A 36-year-old male bartender is brought by ambulance to your emergency room because a patron jumped over the bar, grabbed an ice pick, and stabbed him in the chest rather than pay his bar tab at the end of the night. The ice pick entered the chest about 2 cm to the left of the sternum in between the fourth and fifth rib. Upon examining the bartender, you note very little blood is coming from the puncture wound and normal lung sounds from both the right and left lung. However, his heart is beating rapidly at 100 beats per minute, his external jugular veins are bulging, and you have
A 36-year-old male bartender is brought by ambulance to your emergency room because a patron jumped over the bar, grabbed an ice pick, and stabbed him in the chest rather than pay his bar tab at the end of the night. The ice pick entered the chest about 2 cm to the left of the sternum in between the fourth and fifth rib. Upon examining the bartender, you note very little blood is coming from the puncture wound and normal lung sounds from both the right and left lung. However, his heart is beating rapidly at 100 beats per minute, his external jugular veins are bulging, and you have difficulty hearing his heart sounds. You order a PA and lateral chest film because you suspect which of the following? a. Hemothorax b. Pneumothorax c. Cardiac tamponade d. Aortic valve stenosis e. Deep venous thrombosis

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