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step2ck_free120/Block 1/Question#37 (reveal difficulty score)
A 4-year-old boy with asthma becomes limp ...
Decrease in cardiac output ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +9 
submitted by โˆ—divya(74),
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eoepirdalm is lcialysba hdlnxptoieeya + aio.entpr tpinoear si dddea ot uerdec easub eitolatnp by nhepolxatdy.ei


 +0 
submitted by โˆ—azibird(256),

What the hell is going on here? Still no answer that makes sense. We have:

  • "Poor air movement, especially on the LEFT"
  • What looks like a RIGHT tension pneumothorax on CXR
  • Shock and stupor ensue...
  • Oh, and also hypovolemic shock and maybe a weirdly shifted PMI

Put it all together: RIGHT tension pneumothorax

But why the hell are breath sounds decreased on the LEFT? That alone made me switch to some crazy heart crushing atelectasis answer. I honestly thing the R/L mixup may be a typo because without that the question is simple.




 +0 
submitted by โˆ—bwdc(677),
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ehT orapdghira si wsingoh cpmelote celsaplo of het flet gnul 2/2( uscumo i)pnguggl whit rtueatsnl everse ilptrasieal ealminatdsi tfsh.i An etacu thfsi can heva teh msea fetcef sa nay rteoh nโ€โ€œipe-ttonesy oc,srspe signcau iimeadpr envuos erurnt to the rhtea nad dcadeeres caidrca ttouup iva het ailgSnrt .imeshmacn

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tomatoeandspinach  ihTs is what I saw nkgihtn.i sasectliAet โ†’ ocuusm ugigpgnl โ†’ tnaueonpsso rnceoysad p?xt sscteAa etli does nto asecdree ..OC sa far as I knw.o +  
tomatoeandspinach  rueo'Y snyiga atht the haacter ihfst is dmnpieig nouevs reurnt to eth ftel at.ehr I ntdo' thikn sthi si a senino"t moton"ruaephx by ntdiiineof - TPXT aussec /lc tish.gnfi +  



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