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147578 Surgery

A young male met with a road traffic accident and came to the emergency department, he was evaluated found to have BP-130/80 mm HG, pulse rate – 88/min, RR -22/min. On auscultation there was decreased air entry on one side with absent breath sounds. X-ray chest is given below. Your most probable diagnosis is

ATension pneumothorax
BRupture of esophagus and compressing the pericardium
CFlail chest due to fracture of ribs 5,6,7,8 ribs
DNormal CXR
Surgery
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