8. Dyspnea, Chest pain, Abdominal pain, Fatigue, Fever, Cough, Weakness, Palpitation, Maybe in shock, thus not able to elicit symptoms S YMPTOMS
9. Beck’s Triad S I G N S Hypotension JVP Diminished heart sounds
10. Hepatomegaly Evidence of chest wall trauma Pulsus paradoxsus > 12 mm Hg Kussmaul sign - paradoxical increase in venous distention and pressure during inspiration S I G N S