Man Has Dyspnea, Sharp Chest Pain After MVA – Let’s Diagnose

A 32-year-old man was brought to the ED by ambulance after a front-end car accident in which his airbag failed to deploy. He complained of sudden sharp chest pain that started very shortly after the accident and increasing shortness of breath. EMTs reported decreased breath sounds on one side of his chest and tachycardia.

Is it acute myocardial infarction, tension pneumothorax, cardiac tamponade, or  a pulmonary embolism?

Can you diagnose the patient? Use the Differential Builder in VisualDx to help you.

ANSWER

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