PPH, Recent delivery Heavy vaginal bleeding Pad or cloth soaked in <5 minutes Constant trickling blood Bleeding >250 ml Soft uterus/lower abdomen, Heart Failure, Difficult breathing with exertion or when lying flat Swelling to both legs Distended neck veins Crackles may be heard in the lungs Maz have chest pain, Pericardial tamponate, Signs of poor perfusion (Tachycardia, Tachynoea, Hypotension, pale skin cold extremities, CRT>3 sec) Distended neck veins, Muffled heart sounds, Maz have dizziness confusion altered mental status, H/O tuberculosis, trauma, cancer, kidney failure, Tension pneumothorax, Hypotension with Difficulty in breathing Absent breath sounds on affected side, Hzperresonance with percussion on affected side Distended neck veins Maz have tracheal shift away from affected side

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