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Traumatic Pneumothorax with Rib Fracture's

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Traumatic Pneumothorax with Rib Fracture's

History: 19 y.o. USNA male midshipman was injured playing fieldball. He sustained a knee to the L anterior chest. The patient reported chest pain and difficulty getting a full breath.

Findings: -Fx of 4th and 5th ribs anteriorly on left -20% pneumothorax

Ddx: Differential Diagnosis for these findings in this case -Traumatic pneumothorax -Pulmonary contusion -Flail chest

Exam: VS: 138/68, P 78, RR 18, SpO2 98% RA, Temp 97.2 Gen: WD, WN male in no acute distress. No complaints of chest pain or dyspnea, but unable to take a full inspiratory breath. Neck: Trachea midline CV: RRR, no m/r/g Pulm: Clear to auscultation with decreased breath sounds at the left upper lobe. Tender to palpation on left mid-thorax.

No MeSH data available.


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Traumatic Pneumothorax with Rib Fracture's

USU Teaching File MUTF - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1992&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Traumatic Pneumothorax with Rib Fracture's

History: 19 y.o. USNA male midshipman was injured playing fieldball. He sustained a knee to the L anterior chest. The patient reported chest pain and difficulty getting a full breath.

Findings: -Fx of 4th and 5th ribs anteriorly on left -20% pneumothorax

Ddx: Differential Diagnosis for these findings in this case -Traumatic pneumothorax -Pulmonary contusion -Flail chest

Exam: VS: 138/68, P 78, RR 18, SpO2 98% RA, Temp 97.2 Gen: WD, WN male in no acute distress. No complaints of chest pain or dyspnea, but unable to take a full inspiratory breath. Neck: Trachea midline CV: RRR, no m/r/g Pulm: Clear to auscultation with decreased breath sounds at the left upper lobe. Tender to palpation on left mid-thorax.

No MeSH data available.