Sphygmomanometer in Surgery — 28yo Man | Trauma Surgery | SMLE Q#17830

SMLE Question #17830

Surgery Trauma Surgery

Objective: OBJ-TRAUMA-SHOCK-001

Last updated: February 2026
A 28-year-old man is brought to the emergency department after a road traffic accident. He has an actively bleeding laceration to the mid-thigh. He is conscious but anxious and pale. Manual blood pressure cannot be obtained with a sphygmomanometer, and peripheral pulses are difficult to palpate. Which additional finding is most likely on physical examination?

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