Rib fracture: Difference between revisions
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==Background== | ==Background== | ||
*Diagnostic goal w/ suspected rib fx is to detect the commonly associated conditions: | |||
**Hemopneumothorax, pulmonary contusion, intra-abd injury, major vascular injury | |||
*Peds | *Peds | ||
**<2yrs with >2 rib fx = 50% mortality | **<2yrs with >2 rib fx = 50% mortality | ||
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*CXR | *CXR | ||
**1st & 2nd Rib fx = severe chest trauma | **1st & 2nd Rib fx = severe chest trauma | ||
**9th, 10, 11 rib fx = must r/o intra-abdominal injury | |||
==Disposition== | |||
*Consider admission for multiple rib fx + elderly or preexisting pulmonary disease | |||
**Difficult for these pts to cough / clear secretions | |||
==See Also== | ==See Also== | ||
*[[Pulmonary Contusion]] | *[[Pulmonary Contusion]] | ||
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==Source== | ==Source== | ||
* | *Tintinanlli | ||
[[Category:Pulm]] | [[Category:Pulm]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 03:01, 18 July 2011
Background
- Diagnostic goal w/ suspected rib fx is to detect the commonly associated conditions:
- Hemopneumothorax, pulmonary contusion, intra-abd injury, major vascular injury
- Peds
- <2yrs with >2 rib fx = 50% mortality
- Ribs more flexible in kids so fx requires extreme force
- <2yrs with >2 rib fx = 50% mortality
- Elderly
- Have 2x the mortality with rib fx compared to younger pts
Diagnosis
- CXR
- 1st & 2nd Rib fx = severe chest trauma
- 9th, 10, 11 rib fx = must r/o intra-abdominal injury
Disposition
- Consider admission for multiple rib fx + elderly or preexisting pulmonary disease
- Difficult for these pts to cough / clear secretions
See Also
Source
- Tintinanlli