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Surgery Trauma c7bb1011

A patient presents to ER after RTA, what is the best way to differentiate cardiac tamponade from Tension Pneumothorax?

A
Presence of Breath Sounds
B
Raised JVP
C
Tracheal Shift
D
Increased Heart Rate
High-Yield Explanation
Ans. (a) Presence of Breath SoundsRef: ATLS Guidelines 10th Edition Page 69* Tension pneumothorax, particularly on the left side, can mimic same line cardiac tamponade.* Because of the similarity in their signs like muffled heart sounds, Raised JVP and Dilated neck veins, tension pneumothorax can initially be confused with cardiac tamponade.* The presence of hyperresonance on percussion indicates tension pneumothorax, whereas the presence of bilateral breath sounds indicates cardiac tamponade.

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