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GSW TO RIGHT CHEST. WHAT IS THE WORKUP OF THIS CASE

SJASMD at aol.com SJASMD at aol.com
Fri Aug 31 03:47:22 BST 2007


We seem to be having a run of interesting gunshot wounds of the chest at  our 
hospital. I have been in disagreement with the management of many of them  
and look to this site to give me a reality check. Here is another chest  case.
 
This case is a 35 year old male who sustained a single gunshot wound of the  
right chest posterolaterally with no exit wound. He presented alert, but  
short of breath . On exam he was normotensive and diminished breath  sounds in the 
right chest.. There was an entry wound in the postero lateral area  of his 
right thorax around the seventh intercostal space. but no exit  wound.
 
He was sent for a chest xray which i share with you.
 
next step?
 
sal 



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