| 2.) What findings do you look for on physical exam?
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Physical examination:
- Primary survey: airway (ability to talk); breathing (sucking chest wound, adequacy of ventilation, breath sounds); circulation (external bleeding, vital signs); neurologic disability (pupils, level of consciousness, motor response to stimuli)
- Secondary survey: detailed physical examination including search for possible exit wound.
Findings in this patient: a 1cm "sucking" wound just under the left mid clavicle; possible exit wound on the upper right back over the mid right scapula; complete sensorimotor loss below the nipples and no rectal tone; distal pulses are present and equal in all four extremities.
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