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EMS calls with a 23yearold male patient who was just in a three car MVC and had driver side impact. They report the patient's air bags did not deploy. The patient was not wearing his seatbelt. The patient arrives to the ER and during the exam you auscultate decreased breath sounds on the right side, bowel sounds in the middle of the chest and that the patient is dyspneic. The findings are consistent with:

Mrs. F, 86, is brought into the ED by her daughter with reports of dull abdominal pain x 3 days. She states she has had "thin" stools for the 3 days before the onset of her abdominal pain. She has not been passing much flatus in the last three days. She states she feels weaker and more lethargic. An IV is established, O2 and cardiac monitor are placed. Labs have been sent. Her bowel sounds are absent. The nurse should suspect:

You are caring for a patient who has had an acute MI. His systolic blood pressure is 88 mm Hg. His extremities are cool and pale. He has a urinary catheter in place with no urine output. Upon examination, he has narrowing pulse pressures and poor capillary refill. What type of shock is this patient likely experiencing?

A 4week old infant is rushed to the ED by her parents due to excessive projectile vomiting with each feeding. Mom reports that she is breast feeding at least every two hours and the infant still appears hungry. You examine the patient and palpate a hard mobile olive shaped mass. The patient is exhibiting:

Common physiological findings with CHF include all of the following EXCEPT: