Approach to penetrating chest injury Quiz: Ace Your Exams
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A 54-year-old man presents to the trauma bay with a stab wound to the left chest. Primary survey is intact. Vital signs are within normal limits and the patient is breathing comfortably on room air. FAST exam is negative. Secondary survey shows a left infra-clavicular puncture wound in the midclavicular line. Chest x-ray shows a large pneumothorax. A chest tube is placed and air is evacuated. The patient is subsequently admitted to the hospital. On day two, the chest tube is removed, and the patient is discharged home later that evening. He returns to the emergency room the following day with left shoulder pain and difficulty grasping objects. He never had issues grasping objects before the stabbing. Which of the following should have been performed during the initial hospital stay and would have identified the underlying pathology?
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