Nail in my heart
نویسندگان
چکیده
Case presentation 23 year old Myamnmar gentleman was brought to the ED, Hospital Ampang. He accidently shot a 5cm nail into his left chest wall while working at a construction site. His airway was patent and vital signs were stable, however complaints of left chest pain with minimal shortness of breath. The nail was firmly cemented to the medial side of his left nipple. Bedside ultrasound was performed by an attending emergency physician. Pneumothorax and hemothorax were able to be ruled out immediately. The most dreadful cardiac injury was promptly ruled out as well as the tip of the nail was found few millimetres just above the pericardium. Chest xray performed to further confirm the diagnosis. Bedside nail extraction from the chest was performed by surgeon on cal under local anaesthesia. Patient was observed in ED for a day and discharged uneventfully.
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