Chest Wall

  • John C. Mayberry
  • Donald D. Trunkey


A 31-year-old man is involved in a single-car accident, which occurred when he lost control of his car and hit a tree. The airbag did not deploy, and it was reported that the steering wheel was bent. The evaluation of this patient reveals a sternal fracture. Chest x-ray demonstrates a normal cardiac silhouette, no hemothorax, and no pneumothorax. The patient has had no dysrhythmias, and the electrocardiogram is normal. However, the patient continues to complain of chest pain, located at the site of the fracture.Which of the following should be the management plan?
  1. (A)

    Pain control and observation

  2. (B)

    Admission to the intensive care unit

  3. (C)

    Obtain an echocardiogram

  4. (D)

    Sedate patient for cardiac catheterization

  5. (E)

    Administer prophylactic antidysrhythmic drugs



Continuous Positive Airway Pressure Chest Wall Epidural Analgesia Blunt Chest Trauma Chest Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • John C. Mayberry
    • 1
  • Donald D. Trunkey
    • 1
  1. 1.Department of SurgeryOregon Health and Science UniversityPortlandUSA

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