Q:

A man is brought to the emergency department after he was stabbed in the chest. Chest is clear bilaterally with muffled heart sounds. B 60/0mmHg, pulse 120bpm, JVP is raised. What is the most probable diagnosis?

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A man is brought to the emergency department after he was stabbed in the chest. Chest is clear bilaterally with muffled heart sounds. B 60/0mmHg, pulse 120bpm, JVP is raised. What is the most probable diagnosis?


  1. Pulmonary embolism
  2. Cardiac tamponade
  3. Pericardial effusion
  4. Hemothorax
  5. Pneumothorax

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The key is B. Cardiac tamponade. [Lungs clear bilaterally excludes effusion and pneumothorax. Muffled heart sound and low bp with raised jvp points towards the diagnosis of cardiac tamponade].

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