Approach to blunt chest injury Quiz: Ace Your Exams
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A 26-year-old man presents to a rural hospital after a motor vehicle crash. According to emergency medical services, the car was traveling at 30 mph when the vehicle abruptly struck a tree and airbags deployed. A cervical collar was placed in the field. Primary survey is intact. The patient does not have significant past medical or surgical history. The patient complains of pain overlying the anterior right chest. Temperature is 36 °C (98 °F), heart rate is 112/min, blood pressure is 110/70 mmHg, and respiratory rate is 22/min. Oxygen saturation is 98% on room air. GCS is 14 for mild confusion. Secondary survey reveals moderate tenderness to palpation along the right anterior chest without abnormal chest wall movement or overlying ecchymoses. FAST examination is negative. Chest x-ray is ordered. Which of the following is the most likely diagnosis?
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