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A 23-Year-Old Man Was Extricated from His Vehicle Following a Motor

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A 23-year-old man was extricated from his vehicle following a motor vehicle collision in which he was the unrestrained driver.  The patient was found unresponsive at the scene and intubated by paramedics.  He received 2.5 L of normal saline over 20 minutes en route to the emergency department.  His medical history is not known.  At the emergency department, blood pressure is 70/30 mm Hg and pulse is 120/min.  The patient responds to strong vocal and tactile stimuli by opening his eyes.  Pupils are equal and reactive to light.  There are multiple bruises over the anterior chest and upper abdomen.  Neck veins are flat, trachea is midline, and extremities are cold.  The abdomen is mildly distended.  Cardiac monitoring shows sinus tachycardia.  Which of the following is most likely to be seen in this patient?

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Definitions:

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