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 Flial chest  
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Author5 Posts
  #1

Why patients become hypotensive in flial chest?

thanks.




  #2

I don't know if flail chest can lead to hypotensition...but pt with flail chest got a huge trauma so probably there are some bleed going on and also aorta can be injured...so it is trauma = flail chest + hypotension


  #3

in flail chest there will be also loss of negative intra thoracic pressure which is one of the mechanisms by which the Venous blood climb up the veins.


  #4

Because of Pulmonary contusion +/- Myocardial contusion in the present of blunt trauma of the chest

good luck


  #5

differentials for flail chest are cardiac contusion, pulmonary contusion, aortic rupture, pneumothorax, hemothorax. pretty much all of them can lead to shock, hence low bp.





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