A life-threatening condition is recognized with the assessment of:
a. pain with downward pressure on both an-terior superior iliac spines.
b. guarding and intense pain with deep pal-pation of the abdomen.
c. distant and muffled heart sounds, with distended neck veins.
d. severe throbbing pain in one eye, with photophobia.
C
Distant, muffled heart sounds and distended neck veins may indicate cardiac tamponade, a life-threatening condition. Iliac spine pain indicates a pelvic fracture that may become life-threatening depending on the extent of occult bleeding. Intense pain with deep palpation is not certain to be deadly. Eye pain with photophobia signals acute glaucoma, which can lead to blindness if treatment is delayed.
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