Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following blunt thoracic trauma with localized chest wall pain, exacerbated by inspiration, coughing, and movement. Reports associated dyspnea and splinting. No history of syncope, hemoptysis, or neurological deficits. Mechanism of injury: [Insert mechanism].
Clinical Examination Findings
Thoracic examination reveals localized tenderness, bony crepitus, and ecchymosis over the [Insert location] rib cage. Auscultation demonstrates decreased air entry on the affected side. Chest wall stability assessed; no paradoxical chest wall motion noted. Patient exhibits shallow, rapid respirations with splinting.
Treatment Protocol
Management includes aggressive pulmonary hygiene, incentive spirometry, and multimodal analgesia (NSAIDs, acetaminophen, and nerve blocks/epidural as indicated). Strict monitoring for respiratory failure or pneumonia. Pulmonary consultation for chest physiotherapy. Follow-up imaging as clinically indicated.