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A 26-year-old man presented to our emergency department with a dull, pleuritic chest pain after being shot on the chest during a football match. The pain radiated to the back and was exacerbated by coughing. Shortness of breath was noted.
On examination, the patient was found to have a high-pitched voice and crepitus over the neck and clavicles. Chest expansion was symmetrical and the lung was clear bilaterally. There was no hyper-resonance on percussion. A crunching sound during systole was auscultated over the precordium. The …
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